Personal Details

If you are interested in registering as an affiliate with the ILF, please complete and submit the form below.

First name

Last name

Title - please select one

Dr Miss Mr Mrs Ms Prof Other

Organisation

Email address

Area of interest: please select all that apply

Medical Nursing Physiotherapy Occupational therapy Massage therapy Living with lymphoedema personally Caring for a person with lymphoedema Other

If you are living with lymphoedema, could you please identify if your lymphoedema is: (please select from the dropdown box)

Agreements

As an affiliate of the ILF, please demonstrate your agreement by ticking each of the following statements:

I allow my contact details to be shared with the National Lymphoedema Framework (NLF) leads/group in my country

I will support/uphold the principles and philosophy of the ILF in partnership working with the organisation and the NLF.

I will share information about lymphoedema developments in my area.

I agree that the ILF may hold the data I supply on this form for the purpose of managing my affiliate membership