Sales Enquiries

Join our Health Practitioner Network

Independent Contractor Information Form

If you are interested in partnering with us as an independent contractor, we would be happy to provide more information about our services and collaboration opportunities.

Please fill out the form below to share your details and qualifications, so we can move forward with the next steps in the process. We look forward to working with you!

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Which role are you applying for?
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Personal Details

Address
Your DOB is required to verify your PIN number
Do you have the right to work in the UK? (We will undertake right to work checks)

Qualifications

Please list below all Professional Qualifications you have obtained

Other Qualifications

Please list below any other relevant training or qualifications

Employment History

Please list below your most recent work experience first, including any other companies or agencies you work for, whether on a permanent or ad-hoc basis: (or fill with 'See CV' if CV has been uploaded)

Referees

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

Blood Testing

I am trained in venepuncture
I can use the vacutainer system

Driving License

Do you hold a current full valid driving license?

Disclosure of Convictions

Do you have any criminal convictions, including those considered "spent" under the Rehabilitation of Offenders Act 1974
We will require a copy of a current Enhanced Adult & Child barred DBS certificate if you are selected to join the network.

Employment Dismissal

Have you ever been dismissed from employment for any reason other than redundancy?

Availability

Please select from below when you would be generally be available to undertake appointments for Inuvi
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, sickness etc. However, as a self-employed independent contractor, you are not obliged to accept instructions from Inuvi.
Declaration