Become a member Sign up to become a member of our foundation trust. Find out more about membership. Step 1 of 4 25% Your name(Required) First Last Your email(Required) Your address Building and street Building and street line 2 Town or city Postcode Your constituency(Required)Choose the option which best describes your chosen constituency. Service user and carer Camden Rest of London Rest of England and Wales This option is only available for current and recent service users and carers. If you were a service user or a carer of a service user before the following dates, please choose another constituency.Which service did you or the person you care for attend?(Required)Please select a serviceAdolecent and young adult serviceAutism spectrum conditions and learning disabilitiesCamden adolecent intensive support service (CAISS)Camden CAMHS early intervention service for psychosisCamden MOSIACCity and Hackney primary care psychotherapy consultation service (PCPCS)Couples unitCreative art therapiesEating difficulties and ARFIDFamily drug and alcohol court (FDAC)Family mental healthFirst stepFitzjohn's unitForensic CAMHSFostering, adoption and kinship careGender identity clinic (GIC)Gender identity development service (GIDS)Gloucester HouseGloucester House outreachHertfordshire outreach serviceMental health support teams (MHST) in schoolsNorth and South Camden community CAMHSParent consultation servicePortman clinicPsychotherapyTrauma serviceWhole family serviceWhole family service (perinatal)Young people's consultation serviceOtherWhat was the name of the service?(Required) When were you discharged from the service?(Required) I am a current service user 2019 2020 2021 2022 2023 Equality, diversity and inclusion monitoringThe following questions can help identify current and future needs, possible inequalities including problems accessing or using services and information, as well as checking that a cross-section of people have been reached and given their views.Which term best describes your gender?(Required) Female Male Prefer to self-describe Prefer not to say Do you identify as trans or non-binary?(Required) Yes No Prefer not to say What is your sexual orientation?(Required) Bisexual Gay Heterosexual Lesbian Other Prefer not to say Do you have a disability or long-term health condition?(Required) Yes No Prefer not to say Please tell us about any access requirements you may haveWhich term best describes your ethnicity?(Required) Asian or Asian British Black, Black British, Caribbean or African Mixed or multiple ethnic groups Other ethnic group White Prefer not to say DeclarationDeclaration(Required) I apply to be a member of the Tavistock and Portman NHS Foundation Trust, and to be bound by its Constitution. By clicking submit, I give my consent to the processing of my information to receive member newsletters, governor election materials and other engagement opportunities
