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Get Application Form - Prime Care
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How to fill out the Application Form - Prime Care online
This guide provides a clear and comprehensive approach to filling out the Application Form - Prime Care online. Follow the steps below to ensure that you complete each section accurately and effectively.
Follow the steps to successfully complete your application.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in your personal details section. Enter your surname, title, forename, maiden name, home address, previous addresses, daytime telephone number, home telephone number, mobile number, email address, and National Insurance Number. Ensure all information is accurate.
- Indicate whether you hold a current and full driving licence, have car insurance for business use, and if you have a car available for work. Select 'Yes' or 'No' in each case.
- If applicable, provide details about your work permit or visa status and your worker registration with the Home Office.
- In the education and training section, list qualifications and training courses attended. Include the name and address of the school or college, the subject, level attained, grade, and year.
- In the employment history section, enter your current employer's name and address, job title, department, start date, current salary, and notice period. Provide a brief description of your duties and responsibilities.
- Detail your previous employment history by providing the name and address of each previous employer, your position or grade, duties performed, reasons for leaving, salary, and dates of employment.
- Address any gaps in employment by completing the required table. If there are no gaps to report, check the appropriate box.
- List two referees, ensuring that one is a recent employer. Include their name, position, address, postcode, telephone number, and email address.
- Complete the medical questionnaire by answering whether you have had certain medical conditions or if you smoke. Provide your general practitioner’s details and certify that your answers are complete.
- If applicable, answer the questions regarding convictions and complete the consent for Access NI checks. Ensure that you provide all required signatures and dates.
- After completing all sections, review your application carefully. Save your changes, download, print, or share the form as needed.
To ensure your application is processed efficiently, complete the Application Form - Prime Care online today.
You should consider a family physician or internal medicine specialist (internist) to serve as your PCP to provide overall management of your health care. You also may want to choose an obstetrician/gynecologist if you are a woman, or a pediatrician for your children.
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