COVID-19 Vaccination Clinic Volunteer Request

THANK YOU for offering your time to help with this historic COVID-19 vaccination programme. We hope that you will find playing a key part in the programme an uplifting experience.

We have a few roles over two sites where we would welcome volunteer support. We will provide induction and any necessary protective equipment (hi-vis, PPE, etc).

REGISTRATION FORM

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* 1. Name

Title

First Name

Surname

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* 2. Preferred telephone number

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* 3. Email address

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* 4. Are you over 18?

Yes

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* 5. What role(s) would you like to do?

Car Park (outside): work in a team to greet patients, direct to suitable parking space and manage traffic flow – so you will need to be active and like talking to people.

Patient Flow (inside): work in a team to ensure patients’ welfare from arrival to being booked in for the vaccination – so you will need to be active and like talking to people.

Clinical Observation (inside, post-Pfizer): work in a team to ensure patient’s welfare AFTER vaccination including the 15 minute observation period – so you will need to be active, like talking to people and have appropriate and demonstrable clinical experience, particularly anaphylaxis awareness training.

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* 6. Please summarise your clinical experience if you'd like to do the observation role.

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* 7. I consent to the use and storage of my name, email address, and phone number for the purposes of managing the volunteer shifts at Covid Vaccination Clinics operated across Ely North and Ely South PCNs, for as long as the clinics are operating.

I understand that I may withdraw my consent at any time by emailing capccg.elycovidvaccs@nhs.net and that my personal data will be permanently deleted upon request.

Yes