Locum Register – Locum Project

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If you are a ST3 or Sessional GP in Northern Ireland you can use this registration form to “opt in” to have your contact details shared with GP practices in your chosen region by the Eastern GP Federation Support Unit (EFSU). This will allow practices to email you directly about work opportunities.

Full Name*

First Last

Please enter your full name

What is your current status?*

Sessional / Locum

GP ST3 within 6 months of CCT

Please confirm you are registered with the GMC AND you are a GP on the NI Primary Medical Performers List (NIPMPL), or you are a GP ST3 completing training and will be joining the perfomers list within the next 6 months.This question is required.*

Yes

What is your GMC Number*

Please enter a number from 1111109 to 9999999.

Please enter your email address*

Enter Email Confirm Email

In which Federation areas would you be interested in working?*

Eastern — Ards

Eastern — Down

Eastern — East Belfast

Eastern — Lisburn

Eastern — North Belfast

Eastern — North Down

Eastern — South Belfast

Eastern — West Belfast

Northern — Antrim/Ballymena

Northern — Causeway

Northern — East Antrim

Northern — Mid Ulster

Southern — Armagh & Dungannon

Southern — Craigavon

Southern — Derry

Southern — Newry & District

Western — South West

Choose as many as you like

Consent*

I agree that my contact details will be shared with participating practices within the FSU areas I have selected*

Please note, contact information will be shared with all participating practices within the regional FSU areas you specified you would like to work in. (i.e. Northern, Eastern, Southern and/or Western). However, Practices are advised this information is solely for the purposes of contacting sessionals regarding GMS locum work within the specific Federations they have indicated.

You can unsubscribe at any time by emailing info@easternfsu.co.uk

Consent*

Finally please ensure you have read and agree to the Privacy Policy of EFSU in managing your personal information. This question is required.**

Our Privacy Policy can be found here: https://easternfsu.com/privacy-policy/

You can unsubscribe at any time by emailing info@easternfsu.co.uk

Phone

This field is for validation purposes and should be left unchanged.

Register as a Locum