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Title
Mr
Ms
Miss
Mrs
Dr
Forename
Surname
Previous name
Gender
Male
Female
Other
NHS Email
Personal Email
Landline
Extension
Work Mobile
Personal Mobile
Password
Confirm Password
ID Card No
Additional Info
Work Sites
Access site and staff group
Main Work Site
Select main site where you are based
Good Hope Hospital
Heartlands Hospital
Solihull Hospital
Other Sites
Good Hope
Heartlands
Solihull
Department
Select Department
303
303
305
305
306
306
408
620
621 SAU
622
623
726
726
728
Admissions Lounge
Ambulatory Care Unit
Ante Natal Clinic
Ante Natal Clinic
Anticoagulation
Aspen
Assure Renal Dialysis Unit
Assure Renal Dialysis Unit
Bournville
Breast Reconstruction
Breast Services
BU Obstetrics
Burns Centre
CAPD
CAPD
Castle Vale Renal Unit
Castle Vale Renal Unit
CAU
CCU & Cath Lab QE
CCU & Cath Lab QE
Cedar
Chemo Day Unit – East Block
Chest Clinical
Children’s Community CNS
Children’s community LD team
Children’s community Special School Nursing
Children’s OPD
Children’s OPD
Children’s OPD
Clinical Centre for Haematology
Critical Care
Critical Care
Day Surgery Unit
Day Unit
Delivery Suite
Delivery Suite
Dermatology
Diabetes
Discharge Lounge
E2A
E2A
E2B
E2B
Eden
Edgbaston
Edgbaston
EGB
EGB
Endocrinology
Endocrinology
Endoscopy Unit
Endoscopy Unit
Endoscopy Unit
Endoscopy Unit
EPOC
GAU
GAU
Glaxo Renal Unit Heartlands
Glaxo Renal Unit Heartlands
Hands
Harborne
Harborne
IR BHH
IR GHH
IR QEH
Maple
MDH
MDH
MIDRU Chemo Day Unit
Midwife Led Unit
New Thoracic ward 513
New Thoracic ward 513
NNU
Oncology Outpatients – Cancer Centre
OPAD
OPAD
OPAL
OPAL
OPAL
OPAL
OPAL
OPAL
OPD
OPD
OPD
OPD 1 & 3
OPD 2
OPD 4
Ophthalmology
Ophthalmology
PACU / EPOC
PAU
PHDU
Phlebotomy
Phlebotomy HGS
Pre Admission
Pre Admission
Radiotherapy
Rheumatology
Runcorn Rd Dialysis Unit
Runcorn Rd Dialysis Unit
SAU APDU
SCBU
SCBU
Solihull Renal Unit
Solihull Renal Unit
Theatres
TNP
Transitional Care
Umbrella
Ward 10
Ward 10 ( Was 3 )
Ward 10 ( Was 3 )
Ward 11
Ward 11
Ward 12
Ward 12
Ward 12
Ward 12
Ward 14
Ward 14/Paediatric Day Surgery
Ward 15
Ward 15
Ward 15
Ward 15/16 (one unit)
Ward 16
Ward 16 ( New )
Ward 17
Ward 17 ( Was 10 )
Ward 18
Ward 19
Ward 2
Ward 20a
Ward 20a
Ward 20b
Ward 20b
Ward 21
Ward 21
Ward 23 & CCU
Ward 23 & CCU
Ward 24
Ward 24
Ward 24 NIV
Ward 26
Ward 28
Ward 28
Ward 28 ID Unit
Ward 29
Ward 29
Ward 29
Ward 3
Ward 3
Ward 30
Ward 30
Ward 301
Ward 301
Ward 302
Ward 304
Ward 304
Ward 4
Ward 407
Ward 409
Ward 410
Ward 411
Ward 412
Ward 5
Ward 5
Ward 513
Ward 514
Ward 514
Ward 515
Ward 516
Ward 6 & CCU
Ward 6 & CCU
Ward 624
Ward 625
Ward 7
Ward 7
Ward 727
Ward 727
Ward 8
Ward 8
Ward 8
Ward 8
Ward 9
Ward 9
Ward 9
Ward 9
WCCA
WCCB
WCCC
WCCD
West 2
Willow
Job Role Group
Select Job Role
A and E
Contractor
Domestics
Education
Endoscopy
Estates
General Ward
Kitchen
Maternity
Med Records
Pathology
Pharmacy
Physio Dept
Porters
Radiology
Security
Theatre
Treatment centre general
Job title on card
Line Manager
Responsible for approving your registration
Full Name
Email
Job Role
Work Mobile
Work Landline
Extension
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From PC
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From Webcam
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I agree with the regulations for ID cards and the terms of this registration
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Use your Mobile
Use your mobile to take a passport type photo
Email yourself and attach this photo
Make sure you can access this email on this PC
Save the attached photo on PC from the email
Use this photo in your registration form
Use Webcam for your ID
