Membership 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



Personal Contact Details

This is the email address for all correspondence with the BAHRS, please ensure it is secure as we sometimes send sensitive information.
NB: Referee must be a BAHRS surgeon member

Please email copies of the above 4 qualifications to

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.