Member Application Form

Please note. All fields marked with an asterisks (*) are required.

Professional Details

If you have or work at more than one clinic, please put your main clinic here, you will have opportunity to add further clinics in your Member profile once your application has been accepted
Clinic Address


Personal Contact Details

This email address will be used for all communications with the BAHRS. From time to time sensitive information will be sent to this address, please ensure it is secure.
NB: Referee must be a BAHRS surgeon member

Your application will not be processed until confirmation of support from the referee is received at

An invoice will be sent for the annual membership fee upon approval. NB. Annual membership runs for 12 months from date of payment.