Independent Contractor Information Form (Doctors)

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Personal Details

Address
Do you have the right to work in the UK? (We will undertake right to work checks)
Have you ever been dismissed from employment for any reason other than redundancy?

Services

We offer our clients a range of different services. You are free to choose which of these services you wish to provide. Please indicate below which services you can provide then the address/es in the field below:
Available for

Other Facilities

We offer our clients a range of different services. You are free to choose which of these services you wish to provide. Please indicate below which services you can provide then the address/es in the field below:
Do you have any of the following

Referees

Please give details of two people of whom we can obtain references. One should be your current or most recent employer.

Disclosure of Convictions

Do you have any criminal convictions, including those considered "spent" under the Rehabilitation of Offenders Act 1974

Compliance Checking

It is a requirement of Inuvi for all Independent Contractors to provide the following documentation. Please submit a copy of each of the following:

Availability

Please select from below when you would be generally be available to undertake appointments for Inuvi
As a self-employed independent contractor, you are not obliged to accept instructions from the company, however in order to ensure continuity of service to our clients we would request that you provide us with advance notice of any periods of unavailability e.g. holidays.
Declaration