Register - Greater Manchester Primary Care

Name*

First Last

Username*

Please enter a username e.g. your first and last name with no spaces.

Password*

Please enter a password.

Email*

Please enter your email address

Telephone*

Please enter your telephone number

Are you currently employed?

Yes

Pre-employment status

Please select your pre-employment status from the list below

Locality*

Please confirm the area you live or work

Job title

Please enter your job title

Organisation

Please enter the name of your organisation

Organisation type

Please select the type of organisation that you work for

Primary care domain

Please select your primary care domain from the list below

Your current occupation

Please select your current occupation from the list below

Are you currently a registered health care professional?*

Please select Yes if you are currently registered with a professional body such as the General Dental Council, General Medical Council, General Optical Council or General Pharmaceutical Council.

Yes

Registration number

Please enter the registration number from the relevant professional body.

Address

Please enter the address wher you live or work

Address line 1 Address line 2 Address line 3 Postcode

Are you looking for work?

Please select Yes if you are looking for work

Yes

Where do you want to work?

Please select the locations that you want to work in

Your GM Primary Care Passport/s*

Please select the GM Primary Care Passport/s that you want to keep a record of the training that you have completed

Personal data consent (GDPR)*

Please select ‘Yes’ to consent to the personal data that you have shared about yourself being held by the Greater Manchester Primary Care Programme. We will only share this data with partners involved with the GM Primary Care vaccination programme.

Yes

Do you want to receive email?*

Please select ‘Yes’ or ‘No’ to indicate whether you would like to receive email from the Greater Manchester Primary Care Programme. This includes updates about the GM Primary Care vaccination programme.

Yes

Hidden

Where do you want to work?

Please select where you would like to work. Hold down the CTRL or CMD key on your keyboard to select more than one option.