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Clients
GPs
GP Registration
About Us
Contact Us
GP Reference form
Phone
(+44) 020 3540 8100
Email
info@locum.co.uk
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Your details
First name
Last name
Your position
Your email address
Your contact number
GP details
GP first name
GP last name
Their position while working with you
Choose an option
If "Other", please provide details
Name of surgery the GP worked at
Start month and year
End month and year
Their main responsibilities, duties and ability to work in a team
Their reliability, punctuality, honesty and professionalism
Strengths and / or weaknesses along with IT systems experience
Would you work with this GP again? Yes / No and why
Further comments
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