How it works
Organisation / Practice Registration
Thank you for your interest in Doc Abode
This registration form is for organisations to submit the necessary information for verification in order to use the Doc Abode platform to assign cases to healthcare professionals.
Please ensure your password contains a minimum of 8 characters including one capital letter, one number and one non-alphanumeric character
Organisation / Practice Details
Organisation / Practice Name
Organisation / Practice Address
Address Line 1
Address Line 2
State / Province / Region
If you are unsure of your organisation's ODS code, you can visit https://odsportal.hscic.gov.uk to retrieve it.
Lead Contact Name
Lead Contact Email Address
Lead Contact Phone Number
Is the Lead Contact Patient-Facing?
If the lead contact is patient-facing, we will also require the contact details for a non-patient-facing person in the organisation / practice.
Contact 2 Name (non-patient-facing)
Contact 2 Email Address (non-patient-facing)
Contact 2 Phone Number (non-patient-facing)
Organisation / Practice Finance Details
Please enter numbers only, no dashes
Systems and Processes
Please confirm which system(s) you operate with:
If other, please specify
Please Upload your Practice Handbook and Protocols
Maximum file size 10MB. File types accepted include .pdf .jpg .png .doc .docx
I confirm that:
The information I have provided is correct and understand that misleading statements may be sufficient grounds for cancelling any agreements made
Questions left unanswered or partially answered may be discussed arising from this application
I am happy to receive marketing emails from Doc Abode