The Centre

Create new account

The email address is not made public. It will only be used if you need to be contacted about your account or for opted-in notifications.
Provide a password for the new account in both fields.
If you prefer to self describe (non-binary, gender-fluid, agender), please select "other" and enter your preferred description.
Please outline any dietary requirements you have including allergies. Please write 'N/A' if not applicable.
Please list any medical conditions you may have, for example epilepsy, asthma, diabetes. Please write 'N/A' if not applicable.
Please list any other individual needs you may have, for example autism, physical constraints, walking abilities. Please write 'N/A' if not applicable.
Please list the name of your doctor, the telephone number and the name of the surgery.