Healthcare File Sign Off Lydian Care Healthcare File Sign Off to be completed by the recruiter who reviewed all of the candidates information to begin working - Healthcare sign offs need more information for the booking consultant to add onto pulse.Staff Members Name:* First Last Email Address* Were they Referred by a Friend (RAF)?YesNoName of Referrer:Enter Referer's Email Address if known: this will assist with issuing the voucher.Address* Street Address Address Line 2 City County Postcode NI Number:*Used by NHS to identify.DOB:* Contact Telephone Number:*Available to begin work from:* Sites/Area Available to Work:*Select all that apply. Downe Hospital Lagan Valley Ulster Hospital Royal Victoria Hospital Belfast City Hospital Mater Hospital Musgrave Park Hospital Craigavon Hospital Daisy Hill Hospital Lurgan Hospital Antrim Area Hospital Private Sites Holidays booked:*Sign off completed by:*Dean FosterCarla RiceAoibhinn McComiskeyNicola McCaughertyCaitlin O'TooleVia:* Zoom Telephone In Person Uniform & ID Badge Issued:* Yes No Upload ID Badge Photo*Max. file size: 496 MB. Date ID Badge Issued:* Uniform Size*What size of uniformApplication & CV* Yes No Application Form & CV*Does the registrant's application form have all necessary info and a full work history?Access NI Docs* Yes No NINO/POA/IDAccess NI Docs*Do we hold all necessary proof of ID including NINO/POA & Photo ID?Passport Number or Drivers Licence Number:*Required for healthcare staff as part of their profiles for sites.Date Passport Issued:* Date Passport Expires:* Date Access NI Received:* Access NI Status:* No Trace (N) Trace Access NI Trace*Detail what is on the disclosureAccess NI Number:*NISCC Registration* Yes No Registered Since:* Registration Number:*If no - status of NISCC registration:*detail if awaiting endorsement, endorsed, paid for etc..Reference 1 Date Received:* Reference 1 Type:*EmploymentCharacterReference 1 Name:*Reference 2 Date Received:* Reference 2 Type:*EmploymentCharacterReference 2 Name*Online Training Completed on:* M&H Practical Training Completed on:* BLS Practical Training Completed on:* Health Declaration* Yes No Reviewed By*All vaccinations as required?* Yes No Upload Health DeclarationMax. file size: 496 MB. Contract & Bank Details* Yes No including listed NOK.Upload Bank Details*Max. file size: 496 MB. Date Sign off Completed:* Signed on behalf of Lydian Care: Signed on behalf of Lydian Care: Untitled
