Request account

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Complete and submit the following form to request a user account. This will allow you to create and edit pages..

Make sure that you first read the Terms of Service before requesting an account.

Once the account is approved, you will be emailed a notification message and the account will be usable at Special:Userlogin.

User account

Your email address will be sent a confirmation message once this request is submited. Please respond by clicking on the confirmation link provided by the the email. Also, your password will be emailed to you when your account is created.

Username:(same as real name)
Personal information

You may describe your professional status here if you wish. This information will be set as the default content for your userpage. Make sure you are comfortable publishing any information you provide.

Personal biography:

Other information

The following information is kept private and will only be used for this request.

Please provide credentials related to your professional status including your GMC number (or equivalent) and current post.

This is essential to allow account creation since your login id will grant access to the planned clinical image library.

Professional Registration Number eg. GMC:

Current employment / post:



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