Request an account

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There are required fields in this form marked .

How do I fill in this form?

Why are you applying for an account?

  • I am or will be an employee of University Hospitals Sussex NHS Foundation Trust
  • I am a volunteer
  • Other

What role do or will you have?

  • Junior Doctor
  • Administrative Staff
  • Nurse
  • Health Care Assistant
  • Doctor

What area do, or will, you work in?

Please select all of the relevant options for your work context. If none apply, leave blank.

  • Clinical - I will work in an area that delivers healthcare services.
  • Frontline - I will work in an area where I will be, or may be, in direct contact with patients, their families or the general public.
  • Work with children - I will work in an area where I will come into direct contact with children and/or young people.
  • Moves and Handles Patients - I will work in an area where I will help patients move, or may be asked to do so.

Please enter your Applicant/Employee/GMC Number.

This is essential for us to match your account to your staff record.

Where can I find these numbers?

Please select the button below to choose the option which best describes you

  • Sussex Community NHS Foundation Trust
  • Brighton and Sussex Medical School
  • Sussex MSK Partnership
  • Medway PAS Temp Accounts
  • University of Brighton
  • Sussex Partnership Foundation Trust
  • Volunteers
  • Contractors
  • Western Sussex Hospitals Trust
  • External Medical Trainee
  • Non-Medical Healthcare Student
  • Pharm@sea