Thank you for your interest in becoming a Patient Partner at Barking, Havering and Redbridge University Hospitals NHS Trust (BHRUT). Our vision is that your insights will help to identify what really matters most to our patients in their health care experience. Together we will improve quality, safety and the patient experience. (Please complete in BLOCK capitals). 

Your Details:

Note: Questions marked by * are mandatory

*This is a mandatory field. Title

Please Select An Option MrMrsMissMs

*This is a mandatory field. First Name

*This is a mandatory field. Last Name

*This is a mandatory field. Address

Phone Number - Home

Phone Number - Mobile

*This is a mandatory field. Email