Warning message

Submissions for this form are closed.

Combined Form R and Covid declaration

AttachmentSize
PDF icon PDF316.52 KB
Microsoft Office document icon Combined Form R and COVID Declaration_0.doc52.8 KB

PLEASE COMPLETE THE ADOBE VERSION OF THE COMBINED FORM R AND COVID DECLARATION USING THE LINKS 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 (adobe) link
  • Choose save link as 
  • Locate the document where you have saved it
  • Right click the document and choose to open in Adobe Reader
  •  
  • Please only use word if you do not have access to Adobe.

 

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

 

 

Please note that by signing the Combined Form R and Covid declaration you are also confirming that you have read and understand the conditions of taking up a training post and the HEE privacy notice.

 

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