Contact Information

Country*
Email*
Confirm Email*
Phone*

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. 

Financial Information

Financial Terms and Conditions*
  • Yes, I agree to the financial terms and conditions of the IPM

These can be found via the following link:

http://www.ipm.org.uk/77/financial-terms-and-conditions

Gift Aid Declarations – help boost IPM income

 

Please help the IPM boost income by completing a Gift Aid Declaration form.  As a charity, the IPM is able to claim 25p for every £1 received on certain payments (including subscriptions) from members that are UK taxpayers.  It only takes a few minutes and will make so much difference to us.  Even if you are not a UK taxpayer, we would be grateful if you could still complete the form and we will then have a note on the system that you are not eligible – thank you.

 

Complete the Gift Aid Form here:

https://app.etapestry.com/onlineforms/InstituteofPsychosexualMedici/giftaid.html

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

Powered by eTapestry