Community Partners Agreement

Community Partners Agreement

About Your Organisation

In order to be accepted as a community partners scheme member you must belong to an organisation, company or charity that has 5 or more employees or partners. The HSU London clinic regrets that it cannot offer this scheme to individuals.
Contact(Required)
Please provide the name of an HR or People department contact for your organisation who the HSU London clinic can contact.
Please provide an HR or People department email contact for your organisation with who the HSU London clinic can contact and send newsletters to. Where you have a website, this should be using the same domain.
Please provide an HR or People department phone contact for your organisation with who the HSU London clinic can contact

Agreement

Please provide consent to the agreement below. Please note that when attending an appointment, the employee of the organisation or company will need to prove their eligibility. Please ensure you select how they will do this, and inform them that this is required.
Select identification to be used(Required)

If you would like to receive the newsletter, please add the email address to which the newsletter should be sent.