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[HIDDEN] Compliance check view
Locality
PLEASE NOTE:
All bookings should only be booked in line with the national prioritisation programme and Government guidance.
I can confirm I have been
invited
to book an appointment through this system and that I work or live within the locality selected.
I understand that I will need to show evidence of my employing organisation in line with the eligibility criteria for vaccinating health and social care staff when attending my appointment.
I understand my appointment may be cancelled, or may be rejected on-site, if found to have been booked outside of process and that my details may be shared with my employer if found to have been booked outside of eligibility and prioritisation processes.
I confirm I have read and understood the above statement
Date of birth
false
Have you received a request from your GP practice to make a booking?
No items to display
Registered GP Practice
Type a value
Are you classed as clinically extremely vulnerable (shielding patients), in line with Government guidance?
No items to display
Do you have an underlying health condition, or fall within this category, in line with the Government guidance?
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Please select the most appropriate condition from the list
PLEASE NOTE:
All bookings should only be booked in line with the national prioritisation programme and Government guidance.
I can confirm I have been invited to book an appointment through this system and that the selections I have made are a true statement.
I understand that bookings are being checked against GP Clinical records to ensure that the information I have entered into this system is correct and that I have been invited for a vaccination in line with the national prioritisation programme.
I understand my appointment may be cancelled, or may be rejected on-site, if found to have been booked outside of eligibility and prioritisation processes.
I confirm I have read and understood the above statement
Forename
Surname
Email
Please repeat your email
Mobile
Organisation Type
Organisation Name
Line Manager Name
Do you currently have Covid 19, any symptoms of Covid 19, or are awaiting the results of a test for Covid 19?
The 3 symptoms include:
a new continuous cough.
a high temperature.
a loss of, or change in, your normal sense of taste or smell.
No items to display
We have to have this datalabel as for rbl controls the On Change rule doesn't work properly: it fires on every click, even if there is no value change
Will you be attending the site by car?
No items to display
Car Reg No
Please note you are not currently eligible to book an appointment.
Please wait until you are contacted by your employer / GP practice to advise when eligible to proceed.
Please close the browser using the Close button below.
Please note you are not currently eligible to book an appointment.
Please wait until you are contacted by your GP practice to advise when eligible to proceed.
Please close the browser using the Close button below.
The selected locality currently has no available clinics.
Please check back regularly for new appointment dates being released.
Please wait until you have completed the recommended isolation period, or your test is confirmed as negative, to make a booking.
Please close the booking system using the Close button below.
Please continue to make a booking by clicking on the ‘Make booking’ button below.
Please specify the date of birth to continue
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If you have any issues with this system please contact the support team at