If you are a BMS Menopause Specialist and would like your clinic, practice or service to be included in our register, please complete the form below. The information you provide will be made available on both the BMS and Women’s Health Concern websites. If you have multiple clinics, you will need to submit a separate form for each one.

To see the definition of a BMS menopause specialist, click here

Fields marked with an asterisk (*) are compulsory.

    Email address (of the person submitting this form):*

    Name of BMS Menopause Specialist:*

    Job title:*

    Menopause clinic details

    Name of clinic/practice/service:*

    Address line 1:*

    Address line 2:

    Town/City:*

    County/Region:

    Postcode/Zip:*

    Country:

    Clinic telephone number:*

    Clinic email address:

    Clinic website:

    Please indicate type of clinic:* NHSPrivateBoth

    Please name any other BMS Menopause Specialists who work at this clinic (including their job titles):

    Additional information: