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Form R

PLEASE COMPLETE THE ADOBE VERSION OF THE COMBINED FORM R & COVID DECLARATION FORM USING THE LINK ABOVE.  You may receive an error message if using Chrome.  If so, please re-open the website using Internet Explorer or follow the instructions below:

  • Right click on the Combined Form R and Covid declaration form  link
  • Choose save link as (chrome) 
  • Locate the document where you have saved it
  • Right click the document and choose to open in Adobe Reader

 

ONCE COMPLETED, PLEASE SAVE A COPY IN YOUR E-PORTFOLIO AND EMAIL A COPY TO THE RELEVANT SPECIALTY SCHOOL:

 

 - please only use the word version if you do not have access to Adobe

 

 

Specialty School Inbox
ACCS ACCS.nw@hee.nhs.uk
Anaesthesia anaesthesia.nw@hee.nhs.uk
Emergency Medicine Emedicine.nw@hee.nhs.uk
Intensive Care Medicine icm.nw@hee.nhs.uk
Medicine medicine.nw@hee.nhs.uk
Obstetrics and Gynaecology obsgyn.nw@hee.nhs.uk
Ophthalmology ophthalmology.nw@hee.nhs.uk
Paediatrics paediatrics.nw@hee.nhs.uk
Pathology pathology.nw@hee.nhs.uk
Psychiatry psychiatry.nw@hee.nhs.uk
Radiology radiology.nw@hee.nhs.uk
Surgery surgery.nw@hee.nhs.uk