Fields with * are required.
This is needed for your invoicing feature
This is required for your visibility to practices
Please input the following if you want us to generate Solo forms for you.
Note: This feature only applies for certain PCN Hubs and is not relevant to locum work.
These settings relate to requests to work from practices for locum cover.
Tick this if you want practices to be able to request you for locum work.
You may leave this blank
Do you want your availability calendar to be public?
Tick this if you want practices to confirm they agree to the T&C's you have defined in your T&C's document at the point they request you to work.(Go to Account -> Edit Documents to manage your documents.)
Some services require this field
Hubs you have enabled and practices you are visible to can view your profile.
By clicking Submit, I accept the GPNetworks Privacy Policy. I understand that my profile information will be visible to staff users, and that I may be contacted by the GPNetworks system with notifications related to my account activity.
If you are registering as a volunteer, submitting this registration form means you accept the volunteer privacy terms
We will send you a new password and username reminder.
