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All fields marked with an asterisk (*) are required

In order to ensure that we involve you in engagement activities or events that are meaningful and relevant to you as an individual, the registration form asks a number of questions to establish your preferences. You can alter these preferences at any stage in the future by logging in to your account. You will only have to register once. Please note, by participating in any of the projects on this site, you are agreeing to share your views, comments and registration details in accordance with our privacy policy - both with the receiving organisation and with NHS South Central and West CSU who host the platform.
Your password must contain 8-16 characters with at least 1 number, 1 lower case and 1 upper case letter
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Select year

(This will help us to ensure that any age specific engagement projects are appropriate for you)
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The Disability Discrimination Act defines a disability as: "A physical or mental impairment which has a substantial and long term adverse affect on their ability to carry out normal day-to-day activities."
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Please choose the option that is most relevant to you
What are your areas of interest?
We will only contact you about the areas of interest that you tell us you want to hear about
Please tell us how you would like to be involved?
Select as many as you like

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