COVID Vaccination Centre - Clinical Volunteer Details
Contact information and details. Chichester Alliance of Medical Practices
Thank You
Thank you for your interest in vaccinating at our clinics; Tangmere Village Hall PO20 2HS and The Selsey Centre PO20 0SE. In order for us to collate information please see below and then fill in the form as appropriate
Re-registration information for clinicians
If required, please visit the following sites for more information;
Doctors - https://www.gmc-uk.org/registration-and-licensing/guide-for-doctors-granted-temporary-registration/about-your-registration-and-licence-to-practise
Nurses - for registrations lapsed between 1 March 2015 & 30th Nov 2020
https://www.nmc.org.uk/news/coronavirus/temporary-registration/
Title
First Name *
Surname *
Email *
Phone number *
Profession
Professional Registration Number
Have you had a clear DBS check within the last three years?
Clear selection
If you had a DBS check within the last three years, what date was it issued?
Which centre would you be willing to work at?
Please select one or both sites
Selsey Centre, Manor Road, Selsey, PO20 0SE
Tangmere Village Centre, Chichester PO20 2HS
How many shifts would you be able to offer on average per week? (8am - 1pm shift, or 1pm - 6pm shift)
Do you wish to volunteer or be paid?
Clear selection
Additional Comments
Thanks for your offer of support and for submitting your contact information. We aim to contact you with further details about how you can help within 7 working days. Please let us know any additional information that may be helpful.
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