CHIME UK membership application
Prefix
Mr.
Mrs.
Ms
Mx
Dr.
Prof
First Name
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Last Name
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Email
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Secondary email (optional)
Phone
Address
Country
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Job Title
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AfC Band (NHS only)
Organisation
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LinkedIn Profile URL
Digital experience clarification
If your digital experience in a health and care context is not explicit in your LinkedIn or other public profile, please summarise your digital responsibilities below.
Completed certifications and qualifications
If the outcome is pending, please leave blank.
CHCIO
CDH-E
CDH-L
CDH-P
CHISL
PG. Dip Digital Health Leadership
MSc Digital Health Leadership
MSc Health Informatics
CITP (BCS)
FBCS
FEDIP registration status
*
FEDIP – Affiliate Practitioner
FEDIP – Practitioner
FEDIP – Senior Practitioner
FEDIP – Advanced Practitioner
FEDIP – Leading Practitioner
Not FEDIP Registered
To become a CHIME member you must agree to adhere to the
CHIME International Code of Conduct
.
Agree
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