GP SPIN EXPRESSION OF INTEREST FORM Question Title * 1. NAME OF PRACTICE Question Title * 2. CONTACT DETAILS Practice Manager Name Address Address 2 City/Town Post Code Country Email Address Phone Number Question Title * 3. DETAILS OF YOUR PRACTICE List Size Number of Partners Opening Hours Practice Ethos Training and Development Opportunities Question Title * 4. Are you a teaching practice Yes No Question Title * 5. Please tell us about anything else it would be helpful to know Done
