Black Country Healthcare NHS Foundation Trust
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Change of Details Form

If you are a member and your personal details have recently changed, please submit this form, or call us on 0121 612 8061. Fields marked * are required.

Current Details

Details to Change / New Details



For changes in involvement level:

Bronze - Receive regular newsletters, invitations to membership events and information on being a governor

Silver - Bronze level plus the opportunity to take part in surveys and comment on Trust services

Gold - Bronze and Silver level plus the opportunity for greater involvement in other activities e.g policy development and appointment panels