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Members

Application For Public Membership

To become a member please choose from one of the four methods below. We will then contact you shortly after with further information.

1) Download a Membership Form in (pdf format) and send to:

NHSFT Office
South Tyneside NHS Foundation Trust
FREEPOST NAT 13663
South Shields
NE34 0AF

2) Email us using nhsfoundationtrustinfo@stft.nhs.uk

3) Contact the NHSFT office on 0191 202 4121

4) Complete the fields in the online form below and click 'Submit'.

PLEASE NOTE: You must be 16 years of age or over and a resident of South Tyneside, Sunderland or Gateshead

Complete the fields in the online form below and click 'Submit'.
PLEASE NOTE: You must be 16 years of age or over and a resident of South Tyneside, Sunderland or Gateshead
Fields marked with * are mandatory
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I would describe my ethnic origin as: (please choose one) *
 
 
Special Interests - please indicate if you have any special interest in the following areas of health care:
 
IF YOU DO NOT WISH TO HAVE YOUR NAME AND CONSTITUENCY LISTED ON THE PUBLIC REGISTER, PLEASE TICK  
 
 
Last Updated October 2011