Membership Checkout Membership Level change You have selected the Health Professional membership level. Please note: You must use a valid email. We will send you a link for you to validate your email address. The price for membership is £15.00 per Year. Make a Gift £0.00 £5.00 £10.00 £15.00 £20.00 £25.00 £ If you would like to add a donation to support the work of Facial Palsy UK please select the donation amount in the box above. Do you have a discount code? Click here to enter your discount code. Discount Code Account Information Already have an account? Log in here Username Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK More Information Job Title Hospital/clinic Health Authority Area N/A NHS Airedale and Wharfedale and Craven CCG NHS Ashford CCG NHS Aylesbury Vale CCG NHS Barking and Dagenham CCG NHS Barnet CCG NHS Barnsley CCG NHS Basildon and Brentwood CCG NHS Bassetlaw CCG NHS Bath and North East Somerset CCG NHS Bedfordshire CCG NHS Bexley CCG NHS Birmingham CrossCity CCG NHS Birmingham South and Central CCG NHS Blackburn with Darwen CCG NHS Blackpool CCG NHS Bolton CCG NHS Bracknell and Ascot CCG NHS Bradford City CCG NHS Bradford Districts CCG NHS Brent CCG NHS Brighton & Hove CCG NHS Bristol CCG NHS Bromley CCG NHS Bury CCG NHS Calderdale CCG NHS Cambridgeshire and Peterborough CCG NHS Camden CCG NHS Cannock Chase CCG NHS Canterbury and Coastal CCG NHS Castle Point, Rayleigh and Rochford CCG NHS Central London (Westminster) CCG NHS Central Manchester CCG NHS Chiltern CCG NHS Chorley and South Ribble CCG NHS City and Hackney CCG NHS Coastal West Sussex CCG NHS Corby CCG NHS Coventry and Rugby CCG NHS Crawley CCG NHS Croydon CCG NHS Cumbria CCG NHS Darlington CCG NHS Dartford, Gravesham and Swanley CCG NHS Doncaster CCG NHS Dorset CCG NHS Dudley CCG NHS Durham Dales, Easington and Sedgefield CCG NHS Ealing CCG NHS East and North Hertfordshire CCG NHS East Lancashire CCG NHS East Leicestershire and Rutland CCG NHS East Riding of Yorkshire CCG NHS East Staffordshire CCG NHS East Surrey CCG NHS Eastbourne, Hailsham and Seaford CCG NHS Eastern Cheshire CCG NHS Enfield CCG NHS Erewash CCG NHS Fareham and Gosport CCG NHS Fylde & Wyre CCG NHS Gloucestershire CCG NHS Great Yarmouth & Waveney CCG NHS Greater Huddersfield CCG NHS Greater Preston CCG NHS Greenwich CCG NHS Guildford and Waverley CCG NHS Halton CCG NHS Hambleton, Richmondshire and Whitby CCG NHS Hammersmith and Fulham CCG NHS Hardwick CCG NHS Haringey CCG NHS Harrogate and Rural District CCG NHS Harrow CCG NHS Hartlepool and Stockton-on-Tees CCG NHS Hastings & Rother CCG NHS Havering CCG NHS Herefordshire CCG NHS Herts Valleys CCG NHS Heywood, Middleton & Rochdale CCG NHS High Weald Lewes Havens CCG NHS Hillingdon CCG NHS Horsham and Mid Sussex CCG NHS Hounslow CCG NHS Hull CCG NHS Ipswich and East Suffolk CCG NHS Isle of Wight CCG NHS Islington CCG NHS Kernow CCG NHS Kingston CCG NHS Knowsley CCG NHS Lambeth CCG NHS Lancashire North CCG NHS Leeds North CCG NHS Leeds South and East CCG NHS Leeds West CCG NHS Leicester City CCG NHS Lewisham CCG NHS Lincolnshire East CCG NHS Lincolnshire West CCG NHS Liverpool CCG NHS Luton CCG NHS Mansfield & Ashfield CCG NHS Medway CCG NHS Merton CCG NHS Mid Essex CCG NHS Milton Keynes CCG NHS Nene CCG NHS Newark & Sherwood CCG NHS Newbury and District CCG NHS Newcastle Gateshead NEW NHS Newham CCG NHS North & West Reading CCG NHS North Derbyshire CCG NHS North Durham CCG NHS North East Essex CCG NHS North East Hampshire and Farnham CCG NHS North East Lincolnshire CCG NHS North Hampshire CCG NHS North Kirklees CCG NHS North Lincolnshire CCG NHS North Manchester CCG NHS North Norfolk CCG NHS North Somerset CCG NHS North Staffordshire CCG NHS North Tyneside CCG NHS North West Surrey CCG NHS North, East, West Devon CCG NHS Northumberland CCG NHS Norwich CCG NHS Nottingham City CCG NHS Nottingham North & East CCG NHS Nottingham West CCG NHS Oldham CCG NHS Oxfordshire CCG NHS Portsmouth CCG NHS Redbridge CCG NHS Redditch and Bromsgrove CCG NHS Richmond CCG NHS Rotherham CCG NHS Rushcliffe CCG NHS Salford CCG NHS Sandwell and West Birmingham CCG NHS Scarborough and Ryedale CCG NHS Sheffield CCG NHS Shropshire CCG NHS Slough CCG NHS Solihull CCG NHS Somerset CCG NHS South Cheshire CCG NHS South Devon and Torbay CCG NHS South East Staffs and Seisdon and Peninsular CCG NHS South Eastern Hampshire CCG NHS South Gloucestershire CCG NHS South Kent Coast CCG NHS South Lincolnshire CCG NHS South Manchester CCG NHS South Norfolk CCG NHS South Reading CCG NHS South Sefton CCG NHS South Tees CCG NHS South Tyneside CCG NHS South Warwickshire CCG NHS South West Lincolnshire CCG NHS South Worcestershire CCG NHS Southampton CCG NHS Southend CCG NHS Southern Derbyshire CCG NHS Southport and Formby CCG NHS Southwark CCG NHS St Helens CCG NHS Stafford and Surrounds CCG NHS Stockport CCG NHS Stoke on Trent CCG NHS Sunderland CCG NHS Surrey Downs CCG NHS Surrey Heath CCG NHS Sutton CCG NHS Swale CCG NHS Swindon CCG NHS Tameside and Glossop CCG NHS Telford & Wrekin CCG NHS Thanet CCG NHS Thurrock CCG NHS Tower Hamlets CCG NHS Trafford CCG NHS Vale of York CCG NHS Vale Royal CCG NHS Wakefield CCG NHS Walsall CCG NHS Waltham Forest CCG NHS Wandsworth CCG NHS Warrington CCG NHS Warwickshire North CCG NHS West Cheshire CCG NHS West Essex CCG NHS West Hampshire CCG NHS West Kent CCG NHS West Lancashire CCG NHS West Leicestershire CCG NHS West London (K&C & QPP) CCG NHS West Norfolk CCG NHS West Suffolk CCG NHS Wigan Borough CCG NHS Wiltshire CCG NHS Windsor, Ascot and Maidenhead CCG NHS Wirral CCG NHS Wokingham CCG NHS Wolverhampton CCG NHS Wyre Forest CCG NHS Ayrshire & Arran NHS Borders NHS Dumfries & Galloway NHS Fife NHS Forth Valley NHS Grampian NHS Greater Glasgow and Clyde NHS Highland NHS Lanarkshire NHS Lothian NHS Orkney NHS Shetland NHS Tayside NHS Eileanan Siar Western Isles Aneurin Bevan University Health Board ABM University Health Board Cardiff and Vale University Heath Board Hywel Dda University Health Board Cwm Taf University Health Board Betsi Cadwaladr University Health Board Powys Teaching Health Board Belfast Health and Social Care Trust South Eastern Health and Social Care Trust Northern Health and Social Care Trust Southern Health and Social Care Trust Western Health and Social Care Trust Non UK Clinic Location Billing Address First Name Last Name Address 1 Address 2 City County Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone Payment Information We Accept Visa and Mastercard Card Number Expiration Date CVC Discount Code Processing...