Membership Renewals

Use the form below to renew your membership of the Southern Chiropody Group. If you’re logged into the site the fields below will pre-populate with the information we’re currently holding for your practice/login. You are welcome to update these details as part of your renewal. Our Annual membership runs from 1st April to the 31st March.

  • Your Privacy and Data

    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.
  • Contact Details

  • Home Address

  • Surgery Details

  • Your surgery, practice or business name
  • Practice Insurance

    Please confirm that you have insurance for your practice and that the insurance will be maintained.