Join Accord

It’s so easy to join Accord; Just fill out the form below and tell us what you’re interested in and how you would like to get involved.

Your details will be kept in a secure database and will not be shared with any third parties.

The membership scheme is open to people who live in or are registered with a GP practice in North East Lincolnshire, staff and local groups and organisations.

Your contact details

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Your interests













How do you want to be involved?






Monitoring information

We want to build a network that reflects our community and make sure everyone has the opportunity to get involved. To help us to do this, please answer the following questions.












We’d like to get an idea about why you are joining accord and if you have any other local networks that you’re involved with. Please tick any/ all that apply out of the following:













Confidentiality and Data Protection: In accordance with current UK Data Protection legislation, any information you provide on this form will be kept secure, treated confidentially, and only used for the purposes of developing and maintaining our public engagement via the Accord membership. Your personal information will not be shared with any other agencies. If at any time you wish to leave the database please contact us.