Request The Free Service

Complete our online application form to request the service

Contact Details

Contact Name

Position

Email

Telephone

Practice Details
Practice Name CCG Address Line 1 Address Line 2 Town County Postcode

Telephone Number

Email

How many patients are registered at the practice? How many Drs are there at the practice?
Surgery opening times Monday

Surgery is open on Monday?

Opening time Are you closed for lunch on Monday?

Lunch Closing time Lunch Opening time

Closing time

Tuesday

Surgery is open on Tuesday?

Opening time Are you closed for lunch on Tuesday?

Lunch Closing time Lunch Opening time

Closing time

Wednesday

Surgery is open on Wednesday?

Opening time Are you closed for lunch on Wednesday?

Lunch Closing time Lunch Opening time

Closing time

Thursday

Surgery is open on Thursday?

Opening time Are you closed for lunch on Thursday?

Lunch Closing time Lunch Opening time

Closing time

Friday

Surgery is open on Friday?

Opening time Are you closed for lunch on Friday?

Lunch Closing time Lunch Opening time

Closing time

Saturday

Surgery is open on Saturday?

Opening time Are you closed for lunch on Saturday?

Lunch Closing time Lunch Opening time

Closing time

Sunday

Surgery is open on Sunday?

Opening time Are you closed for lunch on Sunday?

Lunch Closing time Lunch Opening time

Closing time

What parking would be available to our field representatives? Surgery Car Park? Off Road Parking? Metered Parking? Roadside spaces? No parking?
Free Patient Information Service Where would you prefer the rack to be installed? Do you require poster boards? Please provide any additional information that may be relevant: How did you hear about IDS UK's Waiting Room Information Service?
Health & Safety Is drilling into walls permitted in your surgery building? Yes No Are you aware of any asbestos in your building that our field representatives could come in contact with when drilling the walls?
Please note you will be required to produce the buildings asbestos register to IDS UK or IDS UK’s representatives prior to installation Yes No When visiting your practice would our staff be entering a dangerous area where they may have to take precautionary measures? Yes No

Terms & conditions: I understand and agree that IDS UK provided display boards remain the property of IDS UK and their sole use is to display IDS UK provided information. The IDS UK information service is free of charge and can be cancelled at any time. I agree that IDS UK can take photographs of materials placed and the surgery entrance for auditing purposes. Additional photographs will only be taken if permission given at time of visit. I understand that IDS UK will not pass surgery details on to any third parties.

I consent to the terms and conditions detailed in the privacy policy

Download the IDS brochure

Order a paper copy of the IDS brochure

Please click anywhere outside this window to close it

Please supply the following information to download our brochure:

Success!

Great, thanks - please click below to download the IDS brochure!

Download IDS brochure

Please click anywhere outside this window to close it

Error!

Sorry, there has been an error recording your details with us!

Please use the direct download link to get a copy of our brochure anyway.

Please click anywhere outside this window to close it

Cancel

Please supply the following information to order a hard copy of our brochure:

Success!

Great, thanks - your brochure will be posted out ASAP!

If you also wish to download a copy of our brochure,
please use the direct download link.

Please click anywhere outside this window to close it

Error!

Sorry, there has been an error recording your details with us!

Please use the direct download link to get a digital copy of our brochure and come back soon to try again.

Please click anywhere outside this window to close it

Cancel