Membership Form for 1st Jan 2020 to 31st December 2020

Details for paying Standing Order or PayPal can be found at the following link..
 
Click here to open a printable copy of payment options
 
As part of your membership you can register on the NPPG Message Board - www.networks.nhs.uk/nhs-networks/nppg-neonatal-and-paediatric-pharmacists-group . Current members who have not renewed prior to the 31st March 2020 will have their name removed from the message boards
 
Membership enquiries - Tel no: 020 3725 5840 admin@nppg.org.uk

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* 1. Type of application

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* 2. Name

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* 3. Preferred contact address and details

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* 4. Description

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* 5. Type of pharmacist / technician - main job role

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* 6. band / Grade

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* 7. Main area of practice

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* 8. Are you a member of the Royal Pharmaceutical Society of Great Britain

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* 9. If Yes to previous question what stage of Faculty member ship are you at?

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* 10. Data sharing

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* 11. Subgroup membership (no extra cost)

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* 12. NPPG is setting up regional groups in Great Britain to help members interact locally. Please select the regional group you feels best meets your geographical needs (you can choose more than one)

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* 13. NPPG is frequently asked to respond to consultations and scoping events for guideline development, particularly in relation to NICE Guidance. If you would be interested in hearing about opportunities to be considered for this work then please tick

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* 14. Please indicate below by ticking any appropriate boxes your interests and personal specialities. This data may be used by the group to put people in touch with you if they need advice or if they are doing a particular study. (None of us know everything so please don’t be shy)

  Interested Specialist Willing to respond to consultations on the subject
Neonates
Paediatrics
Paediatric Chemotherapy
Drugs In Pregnancy and Lactation
Off Label/orphan Drug Use
Paediatric/Neonatal Nutrition
Palliative Care
Pain Control
Paediatric Intensive Care
Paediatric Renal
Paediatric Cardiology
Paediatric Neurology
Paediatric Liver
HIV / Aids
Formulations
Cystic Fibrosis
Respiratory
Mental Health

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* 15. Payment options

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* 16. Payment amount

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* 17. Tick this box to signify that you will comply with NPPG policies - details here - the link also includes details of how NPPG use your data under GDPR

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