Membership of the British Society of Rehabilitation Medicine

Membership is open to any registered medical practitioner who has an interest in disability and its management. As well as consultants and trainees in Rehabilitation Medicine, the membership also comprises Geriatricians, Rheumatologists, Spinal Injury doctors and Neurologists.

Title *

Surname *

Forenames *

DOB (DD-MM-YYYY) / /

GMC No: *

Qualifications *

Present Appointment *

Health Region *

Professional Interests *

Professional Details

Address *

Town *

County *

Postcode *

Email Address *

Daytime Telephone Number *

Personal Details

Home Address *

Town *

County *

Postcode *

Email Address *

Home Telephone Number *

Mobile

Which address would you prefer for correspondence?

Home

Work

Subscription rates

The current annual subscription rates are as below and include subscription to 'Clinical Rehabilitation'.

Ordinary Membership (EC)	£225.00
Junior Membership (trainees)	£75.00 (exc. journal) (Reduced in 2016)
Non EC Members	£231.00
Retired Member A	£80.00 (exc. journal)
Retired Member B	£155.00 (inc. journal)
Overseas Associate	£80.00 (should be a member of own national society)

I wish to apply for membership of British Society of Rehabilitation Medicine.
Your application must be supported by an existing member. Please give their details below.

This application is supported by *

Email Address *