Affiliate Hair Transplant Surgical Assistant Member Application

Member Application Form

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

Title *

First Name *

Last Name *

Date Of Birth *

If you are freelance, please tick here *

If you work at more than one clinic, please put your main clinic here

Name of Hair Transplant Clinics where you currently work and name of Hair Transplant Surgeons that you currently work with *

Hair Transplant Experience

How long have you been assisting with hair transplants? *

Where did you initially train as a hair transplant surgical assistant? *

How many hair transplants have you assisted with? *

How many hair transplants do you assist with per month (on average)? *

Personal Contact Details

Street Address *

Address Line 2

City *

ZIP / Postal Code *

Country *

Personal e-mail *

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.

Tel No *

Referee's name *

NB: Referee must be a BAHRS surgeon member

Date *

I confirm that I have read and understood the BAHRS Membership Terms and Conditions, and agree to abide by them. *

I confirm that I have read and understood the BAHRS Professional Standards for Hair Transplant Surgical Assistants, and agree to abide by them. *

I confirm that I have read and understood the BAHRS Code of Conduct for Affiliate Hair Transplant Surgical Assistant Members, and agree to abide by them. *

Your data will not be shared with any third party, and the principles of the GDPR 2018 and will be adhered to. The BAHRS will use your personal data for the purposes of your involvement in Association activities. I understand that by submitting this form I am consenting to receiving information about the BAHRS by post, email, online or by phone. *

Your application will not be processed until confirmation of support from the referee is received at president@bahrs.co.uk

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