NHS Somerset Health Service

Voluntary and Community Sector Online Registration

If the contact details for your organisation change, could you please provide the updated details by completing the form again in full and ticking the appropriate box.

Name of Organisation :

Address Line 1 :

Address Line 2 :

Town

County :

Post Code :

Tel :

Email :

Website :

Lead Contact

Name :

Role :

Type of organisation (e.g. charity, community group)

Key target groups including age range and geographical area.

Particular areas of interest aligned with Somerset Primary Care Trust priorities.

Tick here if you are happy for us to forward information or request feedback when relevant.

Tick here if you have previously registered and are informing us of change of details.