Involvement Partner registration form

  • This form lets you tell us the kind of thing you are interested in. Then we can contact you about things that matter to you.

    We will check with you every two years if you want to continue to be an Involvement Partner, but you can let us know at any time if you no longer want to be an Involvement Partner or want to take a break.

    If you would like help to fill in this form please email us on or call 01274 228298. If you need this information in another format or language, please contact us or ask a member of staff in the service you are using.

  • To reduce costs, it would be helpful if we could by email. Please leave blank if you do not wish to be contacted by email.

  • How will my information be used?

    When you send us this form you are giving us permission to contact you with information about ways to get involved

    We will store you personal information securely, in line with NHS guidelines
    We will only share your information if necessary and we will always ask your permission
    You can remove your name from our contact list at any time.