Application Form

We highly recommend you signup to SelectmySurgeon using the online registration system, however if you get stuck or would prefer to register offline, please download, fill in and return to us the following offline registration form:
Click to download Offline Registration Form

To be eligible to join SelectmySurgeon you need to be registered with the General Medical Council and to be currently, or have been within the last three years, a consultant within the NHS.

The registration form can be completed by the surgeon or by a secretary responsible for one or more surgeons, it will take about 10 minutes to complete.

Your registration will be checked before it is uploaded on to the site and you will be asked to update your details quarterly.

Application guidance PDF Click to download Guidance PDF

Step One:
Enter your membership details

* Your Username:

(must be 6-20 characters)

* Your Password:

(must be 6-20 characters)

* Email Address:

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