Please fill out the form

In order for us to evaluate whether you are eligible to become a BACME member please provide some information regarding your job role. Once this information has been reviewed a member of the BACME team will get back to you regarding next steps.

Name *

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Last

Email *

Job Title *

Professional Background (e.g. OT, physio, doctor etc): *

Name of Employer/Organisation *

How does your job role relate to the delivery of care to people with ME/CFS? *

Data Protection *

• I consent to BACME collecting and storing my data from this form.

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