Contact Information

State / Province*
Confirm Email*

Professional Information

Professional Status*
  • Doctor
  • Allied Health Professional
  • Student
  • Other
Current Job Title
GMC Number/Other
Previous Medical Training (or other)
Membership of Other Organisations
Where did you hear about the IPM?

Please select the Introductory Training Group or regular Training Seminar Group you are registering for. 

Introductory Training Group
  • IT Chelsea and Westminster Autumn 2018
  • IT South Wales Spring 2019
  • IT Forth Valley Autumn 2018
  • IT Somerset Autumn 2018
  • IT Birmingham 2018
  • IT Nottingham Spring 2019
  • IT Dundee Spring 2019
  • IT Dorset Autumn 2019
  • IT Royal Free London Spring 19
  • IT KCH London Spring 2019
Financial Terms and Conditions*
  • Yes, I agree to the financial terms and conditions of the IPM

These can be found via the following link:

Consent Information

The IPM uses email as its primary method of communication to talk to you about training, exams, accounts, events and newsletters. We do not pass your information to 3rd parties.  In accordance with GDPR legislation, we would like your permission to contact you via email.  We may also use other forms of communication to contact you about your IPM account and training.

Additional Comments

Security Code