Organisation – Brent Patient Voice

Organisation Membership is open to:

locality and GP practice patient participation groups (PPGs) in Brent;
voluntary bodies working in Brent whose remit is wholly or partly related to local health and social care issues.
organisations not qualified as above at the discretion of the Steering Group.

Title	Please select..
First Name*
Last Name*
Address Line 1*
Address Line 2
Town
City
Post Code*
Phone	Your primary contact number
Email
Mailing List	do you want to receive our newsletter and occasional announcements?
Captcha*	5 − 3 = ? To confirm that you're human and not a robot
Organisation Name
Organisation Type	Please select..
Job Title	Your position within the organisation
Eligible	By ticking this box you confirm your eligibility to membership by meeting the criteria defined above
Non Eligible	Tick this box if you DO NOT meet the criteria defined above but still wish to join BPV
Volunteer	If you would like to volunteer for BPV please give us a brief description of your skills / experience and the time you can commit. Thank you.