Multiple Sclerosis Society Website - Welcome to the MS Society - Professional Contacts

get in contact with us using this special form

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For Professionals

* Indicates a required field.

Your Personal Details

Your Role: (anonymised details of your role may be made available to members of the public or professionals)

*Job title

*Profession

or

Other:

*Do you specialise in MS?

Phases of MS covered:
(To select more than one option press the Ctrl key while clicking)

Personal Details:

Title

*First name

*Surname

*Direct phone number

make available**

Mobile number

make available**

*Email (this will be your login name)

make available**

Are you engaged in any MS research

** Please indicate which of your details may be made available on request to other professionals or people affected by MS. This does not mean that your details will be publicly available.

Correspondence Details: These are for MS Society use only

Same as organisation address

* Address line 1
Address line 2
Address line 3
Town / City
* Country
* County
* Postcode

* Receive professional mailings by:

The MS Society may wish to send marketing or other information about the MS Society from time to time, if you do not wish to receive this tick here.

Choose your login password

*Password

*Confirm password

Add organisation details