Application for the Association of GI Physiologists
Please download an application form below - or contact the BSG at the following address:
British Society of Gastroenterology
3 St Andrews Place
Regent's Park
London NW1 4LB
- Telephone: 020 7935 3150
- Fax: 020 7487 3734
- email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Please read the criteria for membership of the AGIP before filling in the application. Unfortunately your application will be unsuccessful if these criteria are not fulfilled.
Please send fully completed forms to;
Dr Etsuro Yazaki
Membership Secretary
The GI Physiology Unit, 3rd Floor Alexandra Wing
The London Hospital, Whitechapel, London, E1 1BB, Email:
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Membership & Accreditation
AGIP Membership and other accreditation forms
The BSG associate membership form can be downloaded below or obtained from:
BSG Secretariat
3 St. Andrews Place
Regent’s Park
London
NW1 4LB
Note Form 8 should be returned to:
Tanya Miller PhD SRCS
Principle Clinical Scientist in GI Physiology
Department of GI Physiology
Level 2, Oxford Colorectal Centre
The Churchill Hospital
Old Road
Headington
Oxford OX3 7LJ
Phone: 01865 235879
Forms available online [Forms 6 & 7 withdrawn]:
- Form 1 [BSG Associate Membership Form] [ 79 kb ]
- Form 2 [AGIP registration as a trainee Accredited Independent Practitioner] [ 81 kb ]
- Form 3 [AGIP registration as an Accredited Independent Practitioner] [ 78 kb ]
- Form 4 [Affiliated Membership of AGIP] [ 81 kb ]
- Form 5 [Fellowship] [ 30 kb ]
- Form 8 [Continuing Professional Development] [ 76 kb ]
- Form 9 [Reflective Practice Form ] [ 1 Mb ]
- Form 10 [Personal Development Plan ] [ 1 Mb ]