Library membership form

Find our latest guidance and information on coronavirus (COVID-19)

All NHS staff and students on placement at Gloucestershire Hospitals NHS Foundation Trust can join our library. Please read our terms and conditions, and privacy policy before you complete this form, at gloshospitals.nhs.uk/library-and-knowledge-service/join-the-library/

Are you a member of staff or a student? *

First name *

Surname *

Job title *

Email address *

Contact number or bleep *

Department *

Which hospital site are you mainly based at? *

Professional group *

Organisation *

Contract end date (if applicable)

If you selected 'other' for any answer, please provide details

Title of course, including name of university or college

Students on placement only

If you have a long term condition or disability, is there anything we can do to make your library experience easier?

I wish to be set up with a GHNHSFT OpenAthens account (a username and password which gives access to online resources)

I agree

Please confirm you have read and agree to the terms and conditions on the library and knowledge homepage *

I have read and agree to the T&Cs

BEST CARE FOR EVERYONE

Preparing for your visit with us: Before you arrive, during your stay and how we'll look after you

Find out more about our specialist children's services

Donate to our hospitals charity to support one of our appeals!

Need to cancel or change your appointment? Let us know ASAP.

Library membership form