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IM1 prerequisites form

To establish clinical safety prerequisites are in place and confirmation that you can commit to information governance prerequisites in order to progress the onboarding process.

Before you start

In order for us to progress the onboarding process, you need to:

confirm that clinical safety prerequisites are in place - these must be in place at the time of initial Supplier Conformance Assessment List (SCAL) submission and reflected in the SCAL
confirm your commitment to ensuring information governance prerequisites will be in place

If you are currently unable to confirm that clinical safety prerequisites are already in place and/or unable to commit to the information governance prerequisites, you will be unable to complete and submit the form.

If you have any questions around this webform please contact [email protected]

Completion of all fields in the form is required. An asterisk (*) indicates a mandatory field.