Practices HiddenApproved–YesNoHiddenCues Practice–YesNoPractice / Contractor DetailsPractice Name* Practice Phone Number*Practice Email Address* Enter Email Confirm Email NHSMail (NHS.net) Email Address Enter Email Confirm Email Lead Optometrist Mobile Phone Number*You'll receive F2F alerts by SMS to this number. Practice Address* Address Line 1 Address Line 2 City ZIP / Postal Code Copy of Public Liability Insurance Drop files here or Select files Max. file size: 195 MB. Copy of Employer's Liability Insurance Drop files here or Select files Max. file size: 195 MB. GOC Corporate Body RegistrationIf applicable Drop files here or Select files Max. file size: 195 MB. Practice QinO Level 1 Drop files here or Select files Max. file size: 195 MB. You must supply this within 3 months of onboarding.Does the Practice have the following?Access to the internet?* Yes No Access to NHSMail?* Yes No Lapsed access Access to telephone / electronic consultation facility?* Yes No Lapsed access Slip lamp BIO or indirect?* Yes No Slip lamp breath shields?* Yes No Applanation Tonometer (Goldmann or Perkins) or ICare* Yes No Appropriate diagnostic ophthalmic drugs* Yes No Access to Fundus imaging* Yes No Access to OCT* Yes No Access to Wide Field Imaging* Yes No Equipment for superficial FB removal* Yes No