Safe Surgeries New Member Form (one per surgery)
Please complete the questions below to join the Safe Surgeries community.

If you are healthcare worker who does not operate within a GP practice (e.g. community health services, secondary care services, social prescribing link worker) and would like to sign up for the newsletter, contact safesurgeries@doctorsoftheworld.org.uk

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What is your practice's name? *
Please provide full practice name
What is the postcode of your practice?
What Integrated Care Board (ICB) is your practice associated with? *
Which local authority (upper tier) is your practice located in?
Who is the main Safe Surgeries contact person at your practice? *
Please provide a full name
Professional role of main contact person: *
Email address of main contact person: *
Are there any other staff members you would like us to include in Safe Surgeries communications?
Please provide email addresses
Would you like to receive news and updates from the Safe Surgeries network? *
Our quarterly Safe Surgeries newsletter is our primary way to communicate with member practices - we share new resources, policy news, events and research updates, and case studies on your fellow Safe Surgeries.
Thank you! We'll be in touch soon with resources and next steps for your practice
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