{"id":9560,"date":"2021-05-21T05:45:53","date_gmt":"2021-05-21T04:45:28","guid":{"rendered":"https:\/\/www.orchardmedprac.scot.nhs.uk\/?page_id=9560"},"modified":"2021-05-21T05:51:49","modified_gmt":"2021-05-21T04:51:49","slug":"step-5-upload-completed-forms","status":"publish","type":"page","link":"https:\/\/www.orchardmedprac.scot.nhs.uk\/clinics-and-services\/registering-with-the-practice\/step-5-upload-completed-forms\/","title":{"rendered":"Step 5: Upload completed forms"},"content":{"rendered":"\n<p>Please use this form to upload your completed forms when registering with us.<\/p>\n\n\n\n<p>Please ensure you have completed and downloaded all the required form listed below, failure to to so will delay your registration with our Practice.<\/p>\n\n\n\n<ul><li>Registration form<\/li><li>New Patient Health Questionnaire<\/li><li>Ethnicity Form<\/li><li>Online Prescription ordering form<\/li><\/ul>\n\n\n\n<p>If you have questions please contact the Practice.<\/p>\n\n\n<link rel='stylesheet' id='formidable-css' href='https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=4271634' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_big_text\" id=\"frm_form_64_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_hnlsj63a5bd496f2303bb97426d\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">File upload New Patient Registrations <\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"64\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_64\" id=\"frm_hide_fields_64\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"hnlsj63a5bd496f2303bb97426d\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_64\" name=\"frm_submit_entry_64\" value=\"19e180eac0\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/9560\" \/><div id=\"frm_field_1589_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_xu1tj63eee17cbc4a2c5d67faad\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xu1tj63eee17cbc4a2c5d67faad\" name=\"item_meta[1589]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1590_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_xt7az63f84b24d398bb22028796\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xt7az63f84b24d398bb22028796\" name=\"item_meta[1590]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1591_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ppbxb634988cba13a7f6f108adc\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_ppbxb634988cba13a7f6f108adc\" name=\"item_meta[1591]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ppbxb634988cba13a7f6f108adc\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_ppbxb634988cba13a7f6f108adc\">Enter Email<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1592_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_w1eya638ca924f6df97a214fad0\" class=\"frm_primary_label\">Date of birth\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w1eya638ca924f6df97a214fad0\" name=\"item_meta[1592]\" value=\"\"  data-frmmask=\"99\/99\/9999\" style=\"width:200px\" placeholder=\"DD\/MM\/YYYY\" data-reqmsg=\"Date of birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"\\d\\d\\\/\\d\\d\\\/\\d\\d\\d\\d$\"   aria-describedby=\"frm_desc_field_w1eya638ca924f6df97a214fad0\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_w1eya638ca924f6df97a214fad0\">Please use format day\/month\/year e.g. 12\/05\/1979<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1593_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_spq8l430d82b37643d9e11036bb\" class=\"frm_primary_label\">Telephone number for us to contact you\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_spq8l430d82b37643d9e11036bb\" name=\"item_meta[1593]\" value=\"\"  data-reqmsg=\"Telephone number for us to contact you cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1595_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container upload\">\r\n    <div  id=\"field_d5wxb97553157d5_label\" class=\"frm_primary_label\">File Upload\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <input type=\"hidden\"  data-reqmsg=\"File Upload cannot be blank.\" data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[1595][]\"  data-reqmsg=\"File Upload cannot be blank.\"  value=\"\" data-frmfile=\"1595\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file1595_dropzone\" role=\"group\"  aria-describedby=\"frm_desc_field_d5wxb97553157d5\">\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file1595[]\" id=\"field_d5wxb97553157d5\"\n\t\t\t data-frmfile=\"1595\" multiple=\"multiple\"  data-reqmsg=\"File Upload cannot be blank.\" data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"File Upload. Drop a file here or click to upload. Maximum file size: 10MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"File Upload. Choose File. Maximum file size: 10MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 10MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_d5wxb97553157d5\">Please upload your files to the practice here. We accept tiff, jpg, png, gif, txt, Word and pdf files, up to a total upload size of 10MB.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1596_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Privacy Policy<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1597_container\" class=\"frm_form_field  frm_html_container form-field\">This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.<\/p>\n<p>The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.<\/p><\/div>\n<div id=\"frm_field_1598_container\" class=\"frm_form_field form-field  frm_required_field frm_inline_container vertical_radio\">\r\n    <label for=\"field_4oeoa4e0ef40ca59ddcb0bc62\" class=\"frm_primary_label\"> \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1598-1596-0\"><label for=\"field_4oeoa4e0ef40ca59ddcb0bc62-0\"><input type=\"checkbox\" name=\"item_meta[1598][]\" id=\"field_4oeoa4e0ef40ca59ddcb0bc62-0\" value=\"I consent to the practice collecting and storing my data from this form.\"  data-sectionid=\"1596\" data-reqmsg=\"We need your consent to proceed. Please tick the box to consent.\" data-invmsg=\"  is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> I consent to the practice collecting and storing my data from this form.<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1600_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_71q6_label\" class=\"frm_primary_label\">reCAPTCHA\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_71q6\" class=\"g-recaptcha\" data-sitekey=\"6LdB6xobAAAAAMCr4m9kdcVHBmzNNSJ4GGxCFp6d\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__654fa23361250\">\n\t\t\t\t<label for=\"frm_email_64\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_64\" type=\"text\" class=\"frm_verify\" name=\"frm__654fa23361250\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"EMiuZvbUwThqI8cBn7LJn5Gp1yOnAW2r+2f93mHw0pc=\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Send<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Please use this form to upload your completed forms when registering with us. Please ensure you have completed and downloaded all the required form listed below, failure to to so will delay your registration with our Practice. Registration form New Patient Health Questionnaire Ethnicity Form Online Prescription ordering form If you have questions please contact &#8230; <a title=\"Step 5: Upload completed forms\" class=\"read-more\" href=\"https:\/\/www.orchardmedprac.scot.nhs.uk\/clinics-and-services\/registering-with-the-practice\/step-5-upload-completed-forms\/\" aria-label=\"Read more about Step 5: Upload completed forms\">Read more<\/a><\/p>\n","protected":false},"author":6577921,"featured_media":9562,"parent":643,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","footnotes":"","_links_to":"","_links_to_target":""},"acf":[],"uagb_featured_image_src":{"full":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte.jpg",1600,1068,false],"thumbnail":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-150x150.jpg",150,150,true],"medium":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-300x200.jpg",300,200,true],"medium_large":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-768x513.jpg",768,513,true],"large":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-1024x684.jpg",1024,684,true],"1536x1536":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-1536x1025.jpg",1536,1025,true],"2048x2048":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte.jpg",1600,1068,false],"mailpoet_newsletter_max":["https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-content\/uploads\/2021\/05\/zfd1l-xtrte-1320x881.jpg",1320,881,true]},"uagb_author_info":{"display_name":"Editor","author_link":"https:\/\/www.orchardmedprac.scot.nhs.uk\/author\/gary-genpra\/"},"uagb_comment_info":0,"uagb_excerpt":"Please use this form to upload your completed forms when registering with us. Please ensure you have completed and downloaded all the required form listed below, failure to to so will delay your registration with our Practice. Registration form New Patient Health Questionnaire Ethnicity Form Online Prescription ordering form If you have questions please contact&hellip;","_links":{"self":[{"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/9560"}],"collection":[{"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/users\/6577921"}],"replies":[{"embeddable":true,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/comments?post=9560"}],"version-history":[{"count":1,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/9560\/revisions"}],"predecessor-version":[{"id":13892,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/9560\/revisions\/13892"}],"up":[{"embeddable":true,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/pages\/643"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/media\/9562"}],"wp:attachment":[{"href":"https:\/\/www.orchardmedprac.scot.nhs.uk\/wp-json\/wp\/v2\/media?parent=9560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}