Pride in Practice registration form Thank you for choosing to register your practice for our Pride in Practice scheme. Please complete the form below and we'll be in touch with you shortly via email. Pride in Practice To register with Pride in Practice please complete this form in full and press 'Send'. We'll be in touch with you about details of the launch and what you need to do next. Fields marked with a * are mandatory Surgery name *Contact name *Phone number *email address *Surgery address inc. postcode * Send