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To become a member today, complete the online form below. Please note that once you press the submit button, your information may be sent across the internet unencrypted. Any information supplied is confidential and used in accordance with the Data Protection Act.

Or for further information on becoming a member, please contact us:

Foundation Trust Office
Torbay and South Devon NHS Foundation Trust
Hengrave House
Torbay Hospital
Torquay TQ2 7AA

Tel: 01803 655705
Email: Foundation Trust Office

Please ensure you fill out your name, contact information and your email address, as our correspondence goes out via email if possible.

Required information

Title

Last name

First name

Address

Post code

Aged over 14 Yes

Date of birth (DD/MM/YYYY)

Email address

If you do not have an email address please contact the Foundation Trust Office to become a member.

Information which would be helpful

Council area Plymouth*South HamsTeignbridgeTorbay

*PL6, PL7, PL8, PL9 and PL21 post code areas only.

Telephone

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Data protection: your details will be held on a confidential database. The Trust will adhere to Data Protection legislation. A Register of Members will be available for public inspection. Only your name will be held on this Register. If you do not want your name to appear on the Register, please tick this box.

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Information which would be helpful

Hospitals