Please fill in your details below to become a member of Queen Victoria Hospital NHS Foundation Trust.
You must be at least 18 years old and live in Kent, Surrey or Sussex or the London boroughs of Croydon, Kingston, Merton, Richmond, Sutton, Bexley, Bromley, Greenwich, Lambeth, Lewisham, Southwark and Wandsworth to apply. If you are under 18 or live outside the area you may become an affiliate member, which means that you will receive news and communications from us but will not be eligible to vote in elections.
Fields marked with * are mandatory.