Membership Form

Our Annual membership runs from 1st April to the 31st March. The amount annually is £50.

During the sign-up process you can create a listing on this website (this is optional).

Apply Online

To apply for NEW membership, please complete the form below.

If you are an existing member you can renew your membership by logging on and clicking the link here. The first time you may have to enter your details, the following year the form should be filled in for you)

You will all then have to pay our annual membership of £50 by BACS and notify our treasurer. Bank details will be available on the thank you page of these forms.

Step 1 of 4

Your Privacy and Data
Your Privacy / Data Protection*
- I consent to my information being processed by the Chiropody Group
In order to proceed we need your permission. By ticking the box above, you are agreeing to the Chiropody group holding your information. The processing of the personal information collected in this form is subject to the conditions of our privacy policy.
Website Listing
Do you want to list your practice on this website?*
- Yes
- No
We'll show or hide certain fields on this form based on whether you'd like a listing setup. Please note that listings are not required and can be removed at any time should you change your mind.
Your Login
This login will give you access to the password protected membership area on this website.
Email*
Email Visibility
- Don't display my email address on the website
Password*
Enter Password Confirm Password
Member Details
Title
First Name*
Surname*
Qualification Certificate
List your qualifications here.
Qualification Certificate
Max. file size: 256 MB.
Add an image of your certification. Add an image of no more than 1000 pixels wide.
HCPC Registration
Insurance*
- I can confirm that my practice is currently insured
Please confirm that you have insurance for your practice and that the insurance will be maintained.
What geographic areas do you cover or if practice based please state that?

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Contact Details
Contact Telephone
Contact Mobile
Home Address
Address One
Address Two
Town/City
County
Postcode

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Surgery Address
Your Work Setup*
- Practice
- Domiciliary Practice
Surgery Name
Your surgery or business name, if you have one.
Address One*
Address Two
Town/City
County
Postcode*

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Profile Details
Profile Title*
What title would you like on your profile page? This can simply be your name or it could be the name of your surgery.
Description for your profile*
Write a description of not more than 300 words about yourself and the services you offer. Visit other member profiles on the site for ideas. (Please note that this field has a 1500 character limit)
Member Portrait
Accepted file types: jpg, jpeg, png, gif.
Please upload a portrait image of yourself or your business. For best results use an image that is 300 pixels wide and 300 pixels high. Images will be resized to these dimensions for display.
Social and Web Links
Your Website
If you have one, please provide a link to your website.
Twitter Name
If you have one, provide your twitter name.
Facebook Page
CAPTCHA

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BENEFITS OF BEING A MEMBER

CPD training for your HCPC portfolio

Networking – develop professional and social contacts

Education – up to date current topics, broadening skills, current legislation

Insurance – preferential rates

Training – quarterly meetings, regular study days, bi-annual conference

Group Support – passing on clients, covering holidays

Group Badge – displaying the association logo

Shadowing – for newly qualified practitioners

Promoting your business on the website

Member’s only area on website – access to training materials, newsletters etc…

DBS – certification owned by you for a one off payment

Sharps service – disposal of your sharps for FREE at Branch meetings

Membership Form

Apply Online

Step 1 of 4

Your Privacy and Data

Website Listing

Your Login

Member Details

Contact Details

Home Address

Surgery Address

Profile Details

Social and Web Links

BENEFITS OF BEING A MEMBER