Registration

If you would like to register with the TBPI Group please fill in this form and click on the SUBMIT button. The form is in three parts; the first part is for everyone to fill in. The second part is only for people with a BPI , and the last part is for other visitors, for example, parents of someone with a BPI.






MaleFemale


YesNo


Trauma BPIObstetric BPIBP Related e.g TOSUndiagnosed



YesNo


The parent of someone with an OBPIThe parent of someone with a TBPIOther relativeFriend of someone with a BPIPhysiotherapistOccupational therapistOther therapistMedical practitionerOther