NHS Mail Smartform for Pharmacists / Optometrists / Dentists

Please Note: Our usual process is for a 'Shared Mailbox' to be created for relevant staff to view / action incoming emails and send replies etc. The mailbox has 'Owners' to add / remove future permissions and 'Members' who just access it. Both Owners and Members have access to use all mailbox functionality. Access to the mailbox is via Personal Mailbox credentials.

NB If you already have a shared Mailbox created by NHSmail themselves, we do not have access to add Members to it. Although we can provide guidance for your Owner to action.

What type of NHS Mail account do you require? *

Personal NHS Mail account

Shared mailbox

First name *

Last name *

Email address *

This will be used to update you about your request

Job group *

Pharmacist

Optometrist

Dentist

Job title *

Name of site user is based at *

including ODS or NACs code

Postcode of site *

Contact number *

Personal account

For clinical workers, please provide the professional registration number

Please attach a copy of your DSPT (IG) compliance *

Shared mailbox

Preferred name of mailbox *

e.g. name of site and city, or something to that effect

Name(s) of owner(s) for mailbox and their personal NHS Mail email addresses *

Please note that owners will be required to administrate this mailbox in order to add/remove members for access etc – further information on shared mailboxes or distribution lists can be found here https://support.nhs.net/article-categories/shared-mailbox/

Consent for storing submitted data *

Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data

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NHS Mail Smartform for Pharmacists / Optometrists / Dentists