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Become a member of the BHDA

Please complete and submit the form below to apply for membership of the BHDA. On submission of this form, you will be redirected to a page from where you can download a Direct Debit mandate. Please complete and sign this direct debit form, and return by post to the address indicated. Once we have received your completed submission and Direct Debit, you will be a member of the BHDA.

First name Surname Professional Qualifications Name of Practice (if applicable) Address 1 Address 2 Address 3 City County Post Code Telephone Fax number (if any) Email address Website (if any) Have you attended courses in Homeopathy? Yes No Are you an Associate of the Faculty of Homeopathy? Associate Licensed Associate No Is your Practice mercury-free? Yes No Is your Practice…? NHS Private Mixed What is your role? Dentist Hygienist Student Other Any special fields of interest?

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Would you like your details published on this website? Yes No