I would like our practice to be involved in the General Practice Alert System (GPAS) when it is deployed in our area and have provided details of a nominated contact below.

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* 1. What is your LMC/London Borough area?

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* 2. Practice name

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* 3. Practice code

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* 4. Name of primary nominated responder

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* 5. Email address of primary nominated responder

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* 6. Name of secondary/ backup (holiday cover) responder (if a group email please reply "GROUP")

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* 7. Email of secondary/ backup (holiday cover) responder

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* 8. We will be in touch about the deployment of the General Practice Alert System (GPAS) in your practice/ area in due course. In the meantime, if you have any questions about the scheme please let us know below and we will reply to you directly.

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