Time: 28/04/2024 01:07:43.210+01:00 PID: AS-ResourceMgr_14228.10020.14
Request New ELMS2 User Account
Please complete the details below
Title:
*
Forename:
*
Surname:
*
Work Email:
*
Confirm Work Email:
*
Tel No (Work):
*
Mobile No (Work):
Base 1:
*
Base 2:
Base 3:
Employing Body/Authority:
*
Manager's Name:
*
Manager's Work Email and Phone Number:
*
Occupation/Professional Role:
(STAFF)
Aintree Chest Centre (CHEST)
Base Admin (BAS)
CARER (CAR)
ChildrensPhysio, OT Asst (CHILD)
Community Care (SMBC) (CCP)
Community Dietician (DIET)
GP (GP)
Hoists and Slings Trained (HOIST/SL)
Hospice Staff (PALL)
Nurse (NU)
Nurse (Children) (CHN)
Occupational therapist (OT)
One Vision Trusted Assessor (TAOVH)
OT Single handed Care (SHCOT)
Physiotherapist (PT)
Podiatrist (POD)
Respiratory Nurse (RESP)
Sensory Impairment Officer (SENS)
Single Handed Care (SHC)
Store Worker (SW)
stores training (TRAINING)
Student Placement (STUDENT)
TELECARE EQUIPMENT (TELE)
Therapy Assistant NHS (ASST)
Trusted Assessor (TA)
*
Elms Training Attended:
Yes
No
*
Where/When Elms Training was Attended:
Types of equipment appropriate to your training and experience:
Can you confirm that you have received up to date training from your employing authority in approriate provision and use of data:
Yes
No
*