Basingstoke Team Parish

Membership for Healthcare Professionals

If you would like to become a member, please complete the form below. 

 

Thank you for taking an interest in helping people with PoTS.

Please consider joining PoTS UK as a healthcare professional member. Membership is free.

Benefits of membership include receiving:

  • A newsletter for healthcare professionals approximately 2-3 times per year
  • Occasional news about current research, educational meetings, website updates and other PoTS news
  • Information about healthcare professional networks relevant to you
  • Leaflets and booklets for your patients (request from info@potsuk.org)
  • Doctors with a special interest in PoTS will receive an invitation to be listed on the PoTS UK website if they wish

If you like to be a healthcare professional member and receive the above membership benefits, please complete the form below.

Details protected under the Data Protection Act 2018.  We will not give your personal information to third parties (eg other healthcare professionals) without your express consent. You can read our privacy policy here

Medical Membership form

Please note fields marked with * are required.

Please provide as much information as possible, as this helps us to help you.

Your details
First Name*
Last Name*
Email Address*
Town or City*
County*
Country*

Please provide details of your current post
Type of healthcare professional*
Cardiologist
Dietician
Exercise practitioner
GP
General paediatrician
Medicine for elderly consultant
Neurologist
Nurse
Occupational therapist
Paediatric cardiologist
Pharmacist
Physiotherapist
Psychologist
Other
If you selected "other" above, please state your involvement with PoTS below:
My involvement with PoTS

Further medical information
Name of NHS hospital or organisation
Details of non-NHS clinics where you work
Are you currently experienced in managing patients with PoTS?*
Yes
No but may do in the future
No but I want to learn more about PoTS
If you manage patients with PoTS what age range do you see?
0-16
0-18
16+
18+
All ages
Complete security*
If you would like to unsubscribe from our newsletter and updates and have all data that we hold about you removed, please email info@potsuk.org