New Member Application Form

You can influence the future of care services by joining ihcp. You can add your voice to the many care homes and organisations that strive together to promote high quality care, dignity and choice.

Fill in the following details and we will send you a membership pack and what to do next.  One of our staff will be in contact with you within the next 48 hours. If you have any queries about your application please email Liz Marshall at liz@ihcp.co.uk.

Application Form

Your Name (required):

Your Email (required):

Name of organisation (required):

Address (required):

Town (required):

County (required):

Postcode:

Telephone (required):

Fax:

Organisations general email (required):

Web address:

Facebook address:

Twitter address:

Name of manager:

Name of registered person (if different from above):

Name of contact (if different from above):

Type of organisation:

Other:

Please select all care types provided by your organisation (required):
DomiciliaryMental HealthLearning DisabilitiesPhysical DisabilityEducation / TrainingChildren & Young PeopleResidentialNursingDementiaHospiceExtra CareOther (Please Specify)

Other:

If a Care Home/Hospice, total number of beds:

Do you want your organisation to be listed on our website directory?:

Describe your organisation (in less than 30 words):

Upload your organisations logo (JPEG File under 1mb):

Upload your organisations photos (ZIP File or jpeg under 3mb):

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