Onboarding
Onboarding 1 – Personal Details
Personal Details
First Name
*
Last Name
*
Phone
*
Personal Email
*
House Number
*
Street
*
Town
*
Postcode
*
Role Details
Role
*
GP
Specialist
Psychologist
Other Staff
Therapist
License Body
*
GMC
BPS
None
License Number
*
Prefix
*
Dr
Prof
Mr
Ms
Mrs
Controlled Drug Pin
I confirm I hold and will maintain my own malpractice indemnity insurance
Yes
No
I hold and will maintain a valid DBS certificate
Yes
No
I am current with mandatory training
Yes
No
Zoom personal room meeting link (Will be provided if you do not know it)
Public Website Info
This info will be added to our public doctor / team page.
I am happy to be added to ‘Our team’ page
Yes
No
Discuss later
Public bio
Public Profile Picture
Drop a file here or click to upload
Choose File
Maximum file size: 268.44MB
If you are human, leave this field blank.
Submit
