Membership application form

You can complete the online membership application form by clicking here. Questions marked with an * are required information.

Alternatively, you can phone our membership office on 01278 432167, send us an email at or print and complete the form and send to:

Freepost [To be advised ]

Somerset NHS Foundation Trust
Foundation Trust
Mallard Court
Express Park
Bristol Road

The information you provide on your membership application form will remain confidential and will be managed in accordance with the Data Protection Act (1998).

What happens next? 

When you have completed the online form or sent us your completed form by post, we will send you an acknowledgement.

Email correspondence is always encouraged, as this is both less expensive for you and us, and also helps us achieve our environmental objectives.


Application Forms