DOES IT COST ANYTHING?
No. Membership is totally free.

WHAT DO I GET?
You get up to date information from our quarterly newsletters which keeps you informed on local services.You also get access to a range of information about mental health matters.

LIKE TO JOIN?
Complete the form below and submit it or phone us on 020 8681 6888

Membership Criteria

A Resident in the London Borough of Croydon
B and/or Have a recognisable interest in the Mental Health Service User issues in Croydon
C and/or Have had an emotional, psychological problems or some form of mental illness

Your Name:

Address:


Your Email or Leave as:

Your Telephone:

Date of Birth:

Your Age:

Gender ? Male Female

Ethnicity: ? British Irish Any Other White background White and Black Caribbean White and Black African White and Asian Any other Mixed background Indian Pakistani Bangladeshi Any other Asian Background Caribbean African Any other Black Background Chinese Other ethnic group

Membership Status ? Service User EX Service user Associate Professional Carer Other

Comment or Requests:


Declaration
I declare that the information I have given on this form is correct and complete. Please enrol me as a member of Hear Us and I agree to the group's rules.