Please complete the form below and click submit to send to NHS Shared Services. A copy will also be sent to your email address.
Please note that:
- Submission of this form constitutes as electronic signature of the form
- You will be required to complete a reaccreditation form declaring your skills, competencies and clinical knowledge every 3 years from the date of submission in order to continue providing the service
- An enhanced DBS certificate must be dated within 6 months of you making an initial application for any of the services that require a DBS check i.e. CHOOSE Pharmacy, Emergency Contraception or Smoking Cessation Level 3. A new check is then not required for subsequent applications. If you have any queries regarding your DBS status please email email@example.com
Please log in to the WCPPE website to submit this form.