COVID-19: Stage Two assessments booking form

Please complete this form to let us know that you are ready for Stage Two assessments.

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Before completing this form, please read the information about Stage Two assessments under COVID-19.

By completing this form you are opting in to Stage two assessments, and declaring that you are ready to be given a date for assessment. You must not complete this form if you have not yet been signed off from Stage One.

If you have selected option 1: 'My practice or a practice I have access to'

Please note down any restrictions that we need to be aware of when booking assessments at the practice. These might include restrictions on days / hours when a room will be available.

The more restrictions you enter, the more difficult it may be to schedule an assessment.