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Submissions for this form are closed.Form R
| Attachment | Size |
|---|---|
 form A part A (for new starter use only) | 202.86 KB |
| Combined Form R and Covid declaration form | 316.52 KB |
 word version of form A | 93 KB |
| word version of combined form R and covid declaration form | 151 KB |
| Guidance notes - completing Form R Part B part B section | 301.1 KB |
| Conditions of joining a specialty training programme | 271.44 KB |
New starters must familiarise themselves with the HEE privacy notice:
PLEASE COMPLETE THE ADOBE VERSION OF THE COMBINED FORM R & COVID DECLARATION FORM USING THE LINK ABOVE.
To type directly onto the PDF form:
- download the PDF
- click on the pen symbol on the top right hand side
- double click in the box you want to type in
- complete and save
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 | accsem.nw@hee.nhs.uk |
| Anaesthesia | anaesthesia.nw@hee.nhs.uk |
| Emergency Medicine | accsem.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 |