This form is intended for those Doctors who wish to publish their details on the web site and who are available for immediate work. IN ORDER TO REQUEST INCLUSION ON THE WEBSITE, YOU WILL BE REQUIRED TO SUBMIT THE PASSWORD GIVEN TO YOU FROM THE Password Application form.

The list of locum's appearing on the web site should only be used for GP's available for immediate work as the site is primarily used for practices requiring an immediate locum at short notice (next few days) as opposed to GPs and GPR's who will become available at a future date. If you are not available for immediate work, please just use the Password Application form in order to be on the email circulation list for all practice positions.

If you are only interested on being on the emailing list, then you only need to request a password and complete the password application form as a locum to receive the email updates. If you only wish to be on the emailing list, please use the Password Application form to obtain your password

PLEASE BE AWARE THAT I HAVE CARRY OUT VERIFICATION MANUALLY AND THERERFORE IT MAY BE A FEW DAYS BEFORE I GET BACK TO YOU

Password and antispam verification

Site password:

Antispam verification

please enter the name of the city EXACTLY as you see it


Locum details to be displayed on the web site

First name:
Surname:
Email address:
Telephone contact:
GMC number:
Prescribing PCT:

Please tick which computer systems you have experience with






Please tick the relevant geographical areas












Please provide information about yourself. For example, qualifications. experience, the days you are able to work.