Our Values: Compassionate | Aspirational | Resourceful | Excellent

Membership application form

We prefer to contact you by email because we can keep in touch with you more regularly. If you have an email address please provide this below. 


* (Required field)

About You

It would be helful if you would complete this section so that we can see if our membership is representative of the people who use our services.

Are you male or female?
Your ethnicity:
If I become a member, I would like to:
What areas are you interested in: (tick all that apply)
How are you connected to the Trust?

Please note: We are currently only able to contact you via email.

This information will be stored and used in accordance with the Data Protection Act 1998.


    Royal Berkshire NHS Foundation Trust,
    London Road,
    RG1 5AN
    Email us
    Tel: 0118 322 5111
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