Once your practice has entered into contract as an eCare affiliate with Evolutio Care Innovations ltd, you will be expected to work toward a set of compliance standards. Evolutio will undertake an annual compliance inspection to assess your level of compliance and support your practice in ensuring you are working to a common set of standards expected by all NHS providers.

Practice Details
Lead Clinician
Secretary / Administrator Contact
Please provide some general details that apply to your business
Please test your speed at speedtest.net and record the results here for upload nd download speeds
Equipment Details
Or alternative method of measuring corneal thickness
Included on some OCT and Optomap instruments
Hygiene & Safety
Policies
Practice policy for service/clinical complaints
Public visible to pxs & Employer visible to staff
Field name is required
Staff

Please list each GOC registrant within the practice who will be providing the service

Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff
Public visible to pxs & Employer visible to staff

If you have more clinicians that need adding please email affiliate@evolutio-uk.com.

 

By submitting this form, I/we confirm that the information provided is correct and accurate to the best of my/our knowledge and I/we understand that it is my/our responsibility to ensure compliance is maintained through a process of continuous improvement and to immediately notify Evolutio if anything contained within this form requires amending.