Dyslexia for Doctors Workshop 1 Start 2 Complete Please confirm which event you are registering for * Introduction to dyslexia workshop Dyslexia peer support workshop Please confirm that you are on a London and KSS managed training programme as a doctor/dentist * Yes No First Name * Last Name * GMC / GDC / NMC / other Registration Number * Name of employing Trust/CCG * - Select -Ashford & St Peter's HospitalsBarking and Dagenham CCGBarnet CCGBarnet, Enfield and Haringey Mental Health NHS TrustBexley CCGBrent CCGBrighton and Sussex University Hospital NHS TrustBromley CCGCamden and Islington NHS Foundation TrustCamden CCGCentral and North West London NHS Foundation TrustCentral London (Westminster) CCGCentral London Community Healthcare NHS TrustChemical Incident Response ServiceCity and Hackney CCGCroydon CCGDartford and Gravesham NHS TrustEaling CCGEaling Hospital NHS TrustEast Kent Hospital University NHS Foundation TrustEast London NHS Foundation TrustEast Sussex Healthcare NHS TrustEnfield CCGEpsom and St Helier University Hospitals NHS TrustFrimley Park Hospital NHS Foundation TrustGreat Ormond Street Hospital for Children NHS Foundation TrustGreenwhich CCGGuy's and St Thomas' NHS Foundation TrustHammersmith and Fulham CCGHaringey CCGHarrow CCGHavering CCGHealth Protection AgencyHillingdon CCGHomerton University Hospital NHS Foundation TrustHospiceHounslow and Richmond Community Healthcare NHS TrustHounslow CCGImperial College Healthcare NHS TrustIslington CCGKent and Medways NHS & Social Care Partnership TrustKing's College Hospital NHS Foundation TrustKingston CCGLambeth CCGLewisham CCGLondon Regional Health Protection AgencyMaidstone and Tunbridge Wells NHS TrustMedway NHS Foundation TrustMoorfields Eye Hospital NHS Foundation TrustNewham CCGNorth East London NHS Foundation TrustNorth Middlesex University Hospital NHS TrustNorth West London Hospitals NHS TrustOxleas NHS Foundation TrustPublic Health EnglandQueen Victoria Hopsital NHS Foundation TrustRedbridge CCGRichmond CCGRoyal Brompton and Harefield NHS Foundation TrustRoyal Free London NHS Foundation TrustRoyal National Orthopaedic Hospital NHS TrustRoyal Surrey County Hospital NHS TrustSouth London and Maudesley NHS Foundation TrustSouth London Healthcare NHS TrustSouth West London and St. George's Mental Health NHS TrustSt George's Healthcare NHS TrustSurrey & Borders Partnership TrustSurrey & Sussex Healthcare NHS TrustSutton CCGTavistock and Portman NHS Foundation TrustThe Hillingdon Hospitals NHS Foundation TrustThe Lewisham Healthcare NHS TrustThe Royal Marsden NHS Foundation TrustThe Whittington Hospital NHS TrustTower Hamlets CCGUniversity College London Hospitals NHS Foundation TrustWaltham Forest CCGWandsworth CCGWest London (K&C &Qpp) CCGWest London Mental Health NHS TrustWest Sussex Hospitals NHS TrustOther Employing Trust/Organisation name if not on the list above Position/Grade * - Select -CT1CT2FY1FY2ST1GPST1ST2ST3GPST3ST4GPST4ST5ST6ST7ST8Other Other position/grade Specialty * - Select -AcademicAcute Care Common Stem - Acute MedicineAcute Care Common Stem - AnaestheticsAcute Care Common Stem - Emergency MedicineAcute Internal MedicineAllergyAnaestheticsAudio Vestibular MedicineCardiologyCardiothoracic SurgeryChemical PathologyChild and Adolescent PyschiatryClinical GeneticsClinical NeurophysiologyClinical OncologyClinical Pharmacology and TherapeuticsClinical RadiologyCommunity Sexual and Reproductive HealthCore Anaesthetics TrainingCore Medical TrainingCore Psychiatry TrainingCore Surgical TrainingDental and Maxillofacial RadiologyDental Core TrainingDental Foundation TrainingDermatologyDiagnostic NeuropathologyEmergency MedicineEndocrinology and Diabetes MellitusEndodonticsForensic PsychiatryFoundationGastro-enterologyGeneral PracticeGeneral PsychiatryGeneral SurgeryGenito-urinary MedicineGeriatric MedicineHaematologyHistopathologyImmunologyInfectious DiseasesIntensive Care MedicineInterventional RadiologyMedical MicrobiologyMedical OncologyMedical OphthalmologyMedical PsychotherapyMedical VirologyNeurologyNeurosurgeryNuclear MedicineObstetrics and GynaecologyOccupational MedicineOld Age PsychiatryOphthalmologyOral and Maxillofacial PathologyOral and Maxillofacial SurgeryOrthodonticsOtolaryngologyPaediatric and Perinatal PathologyPaediatric CardiologyPaediatric DentistryPaediatric Intensive Care MedicinePaediatricsPalliative MedicinePlastic SurgeryProsthodonticsPsychiatry of Learning DisabilityPublic Health DentalPublic Health MedicineRehabilitation MedicineRenal MedicineRespiratory MedicineRestorative MedicineRheumatologySpecial Care DentistrySport and Exercise MedicineStroke MedicineTrauma and Orthopaedic SurgeryUrologyVascular SurgeryOther Other specialty Contact email address. Please note all correspondence including pre-course material will be sent to the email address provided. You are advised to check your junk folder should you not have received any correspondence 2 weeks prior to the course. * Contact number * Confirmation * By clicking here you will confirm that you have accepted the terms of our privacy statement. To make best use of the session, can we please ask you to do a bit of preparation, as follows: Please ensure you use a laptop/monitor/tablet, rather than a smartphone. Use a headset if possible. In order to enhance communication please ensure that your camera is working, and your video is on. Try to be in a private and quiet room with minimal disturbance. Please log in 5 minutes before the session starts. You can use the time to test your camera, sound/headphones and adjust your settings After logging-in, you may be asked to wait in the ‘waiting room’ so do not hang up, the facilitators will know you are there and will ‘admit’ you when ready. You are not permitted to record the session. NOTE: This is a free workshop designed for those who are currently eligible to access the services provided by the London & KSS Professional Development Team In the event of non-attendance you may be subject to the full cost of the workshop - £75 If your circumstances change and you can no longer attend, please let us know as soon as possible so that your place can be offered to those on the waiting list If non-attendance is the result of your trust/organisation changing your rota at the last minute, you will need to provide evidence. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Submit