Get Clinical Reference Form

The Clinical Reference Form is a crucial document used to provide insight into an applicant's qualifications and character. Filling it out accurately ensures that relevant information is communicated effectively to potential employers.

Follow the steps to complete the Clinical Reference Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the referee's name in the designated field, ensuring that the information provided is accurate and current.
3. Fill out the contact address for the referee, including street address, city, state, and zip code.
4. Input the referee's email address and telephone number to facilitate communication.
5. Next, enter the full name of the applicant in the corresponding section.
6. Indicate the position the applicant is applying for. This information helps contextualize the reference.
7. Respond to the questions regarding how long the referee has known the applicant and the capacity in which they are known.
8. Evaluate the applicant's time-keeping, punctuality, and ability to meet deadlines, marking ‘YES’ or ‘NO’ as applicable and providing further details if necessary.
9. Address any previous disciplinary proceedings the applicant may have faced, answering ‘YES’ or ‘NO’ and elaborating if needed.
10. Answer questions regarding honesty and trust concerns, providing detailed comments where appropriate.
11. Address if the referee is aware of any criminal convictions that could affect the applicant's suitability, marking ‘YES’ or ‘NO’ accordingly.
12. Respond to questions about the applicant's fitness for employment and willingness to recommend them, giving reasons if the response is negative.
13. Evaluate the candidate's strengths and areas needing development in various competencies relevant to their role.
14. Comment on the applicant's sickness absence record, providing specific details on days and episodes where available.
15. Include any additional relevant observations regarding the applicant that might support the reference.
16. Finalize the form by signing it, providing the referee's contact number, email, full name, title/position, GDC number, and date.
17. After completing all sections, users can save changes, download, print, or share the form as needed.

Complete your Clinical Reference Form online today to assist your application process.