Application Enquiry

 
Title: 
Forename: 
*
Surname: 
*
Telephone: 
*
Email: 
*
Address Line 1: 
*
Address Line 2: 
*
Town/City: 
*
Post Code: 
*
DOB: 
Force currently in: 
Date Joined: 
Occupation: 
How did you  
hear about us: 
 

For more information and application pack:

Complete the form to the right to request an application form for the Police Healthcare Scheme (PHS) only.

We will send you an information pack, which will include a membership card to your given address. Should you have any questions or require further any further information please contact the office on:

Terms and conditions
This health screening normally cost £49.50, takes half an hour, and will be held on selected days throughout the Country between February and April 2010. A cash prize can be substituted if appropriate. For more details view Health Screenings page on our website.