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Individual Membership Form

Thank you for taking the time to register your interest in Healthwatch Middlesbrough. By completing this form you are asking us to keep you informed about our activities. This includes receiving the Healthwatch e-bulletin. We hope that you will choose to get more involved in things which are of particular interest to you but the extent of your involvement is entirely up to you.

What is your age range?
The Disability Discrimination Act (DDA) defines a disabled person as “someone who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to carry out normal day to day activities.”
Please tick the box that best describes you:

Your Local Healthwatch

Call us on our new freephone telephone number 0800 989 0080 if you would like to access our Information and Signposting service!

Healthwatch would also like to invite you, the local community to share your views on what you feel our priorities should be for 2017/18. Please follow the link to complete our short survey: https://www.surveymonkey.co.uk/r/HJ3R6GQ

Click here for our latest E-bulletin

What's important to you?

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