Associate membership application form

1. Your details

Thank you for applying to join Oxleas NHS Foundation Trust as an associate member.

We care for people across Greenwich, Bexley and Bromley as well as providing health services in prisons across Greenwich and Kent. We provide a wide range of community health, mental health and learning disability services. We work at around 100 health sites as well as in local schools, children's centres and, of course, in people's homes.

We also own Queen Mary's, Sidcup and provide some services there alongside a number of other NHS providers. For more information visit

The information you provide will be shared with colleagues within the trust to help us build closer relationships between your services, our staff and our service users.

1. Please complete the following


2. Type of organisation


3. Please give a brief description of your organisation's purpose and aim


4. Are there any areas of Oxleas' work that are of particular interest to you?


5. Can your organisation offer any of the following?


6. Would you like Oxleas to give you any of the following information? I would like


7. If you are a voluntary, community or faith group, would you like Oxleas to promote your organisation on our website/intranet?

Thank you for taking the time to complete this application form.