Clinical services - submit page requirements - St George's University Hospitals NHS Foundation Trust

Fill out the following form to request a page on the intranet.

Name*

Email*

Telephone Number

Job Title*

Your Division*

Please select which Corporate Division*

Directorate*

Clinical Service*

Which type of page do you require?*

What is the the name of your Care Group?

What is the name of your Speciality or Service?

What is the name of your MDT? Please include the services within your MDT (this will help us to design the templates and navigation system)

When considering your service's page(s), will you use any of the following components? - Please select all that apply*

Do you have any additional requirements?

Who will be trained to build and manage your pages?

Please add here any feedback or questions you have about this form