Advanced Diabetes PITstop - NW London Training Hub

Please complete the following expression of interest form and we will be in touch with booking information.

Advanced Diabetes PITstop – Expression of Interest

This course if for:
GPs, Nurses, Pharmacists

This form is EOI only, it will be reviewed and you will be informed about next steps.

If you are a GP, and you have not attended the PRE-PITSTOP ( Foundation course) you can provide us with a statement , summarising the details of the diabetes related work you have undertaken and any diabetes training you have attended in the last 2 years.

Full name

Please provide your NHS email address

Phone

Role

If other please specify your role

Borough

PCN

Practice

PCN

Practice

PCN

Practice

PCN

Practice

PCN

Practice

PCN

Practice

PCN

Practice

PCN

Practice

Mentor’s Name

Mentor’s Role

Have you completed a foundation diabetes course?

Yes

When did you complete the foundation diabetes course?

Please upload your foundation diabetes certificate

Maximum file size: 52.43MB

If you have not completed a foundation diabetes course, please provide us with a statement about the work you are currently doing for diabetes and what training you have attended

If you are human, leave this field blank.

Advanced Diabetes PITstop – Expression of Interest

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