Onboarding Contractor informationThis information forms your electronic profile. Please make sure that the same person is completing the whole of the form.Username* Password* Enter Password Confirm Password Strength indicator Name* MrMrsMissMsDrProf.Rev. Title First Last Email*This is the email address that you'll receive your onboarding confirmation at. Enter Email Confirm Email NHS Mail (NHS.net) EmailIf you have one. Enter Email Confirm Email Practice / Contractor Phone number*This is in case we need to contact the contractor. Days / times you can provide the service*Enter each day on a separate linePractice DetailsChoose a practice Specsavers Beeston Specsavers Oadby Specsavers Wigston Wigston Specsavers PROSPECS EYEWEAR LTD Specsavers Blaby Vision Aid Centre Ltd Pilbeam Opticians Saffron Eyecare Optique Opticians Ltd Opticare Ltd (Sileby) Opticare Ltd (Birstall) Opticare Ltd (Anstey) Evington Eyecare Edmonds & Slatter Narborough Eyecare Ltd Care Opticians HALLCROFT Opticians Sky Opticians Burton and Wright Syston Specsavers Coalville Specsavers Lutterworth Specsavers Limited Hinckley Specsavers Melton Mowbray Specsavers Ashby De La Zouch Specsavers Leicester Specsavers Market Harborough Specsavers St Peters Eye Clinic YourSight Opticians Adams Eyecare Ltd Simmons Optometrists Jacob and joe EYE VISION OPTICIAN ARKA Sight Care Harvey Optical K Bardolia Optometrist RYATT OPTOMETRY LTD WHILE OPTICIANS Culver and Glass Optometrists Optyco Langrick and Coe Optometrists & Opticians Specsavers Loughborough Specsavers Beaumont Leys Asda Opticians A S Thakor Opticians Ltd Blaby Eyecare Syston Eyecare Uppingham Road Eyecare SightCheck Opticians LTD North Leicester Specsavers David Austen Optometrists Visual Answers Opticians - Quorn Visual Answers Opticians - Barrow Optivision Opticians Ltd - Earl Shilton Optivision Opticians Ltd - Wigston Optivision Opticians Ltd - Oadby Optivision Opticians Ltd - East Park Road Asda Opticians - Abbey Lane Halls optometrists Adam Optician Farmilo Optometrists Clear View Opticians Boots Opticians (Hinckley) Boots Opticians (Beaumont Leys) Boots Opticians (Gallowtree Gate) S.I.Opticals (Berners Street) S.I.Opticals (Narborough Road) Clarke & Roskrow Styling Opticians Specsavers Corby Specsavers Oakham RUSHEY MEAD EYE CENTRE LTD Henry Smith & Hamylton Boots Opticians Coalville Boots Opticians Boots Opticians Loughborough S.I.Opticals - Oadby Wood Street Optical Grand Specs Opticians Optical People Hinckley JUDGE OPTICIANS Peter Jackson Opticians Derby1 Domiciliary Specsavers Ltd. Leicester 1 Domiciliary Specsavers Ltd. Test Practice Boots opticians Oakham Eye Society Optician Edmonds & Slatter (Woodgate) Edmonds & Slatter (Glenfield) Edmonds & Slatter (Kibworth) Edmonds & Slatter (Lutterworth) Boots Opticians Fosse Park Boots (Market Harborough) Sturdee Eye Care boots opticians Mim Optics Optical3 Ltd Specsavers Fosse Park Costco Optical Leicester Frames Opticians Onboard a practice I can't see a practice I need to be registered with You'll be re-directed to the Practice Onboarding page after you've registered.Optometrist DetailsThis is the optometrist that will provide the service.Name* First Last Date of birth* DD slash MM slash YYYY Correspondence Address* Address Line 1 Address Line 2 City County / Region Post code Optometrist Phone*Email* Enter Email Confirm Email GOC Registration Number Professional Liability Insurance – Company / NumberAOP Number Copy of passport or driving licence Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 195 MB. Copy of DOCET or equivalent adult safeguarding certificate Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 195 MB. Copy of DBS certificate Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 195 MB. Mandatory training certificates Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 195 MB. Clinical Referees Details2 required. Click the + after you've entered the first referee.NameAddressEmail QualificationsWOPEC MECS Glaucoma 1 (theory) Glaucoma 2 (practical) Cataract Low Vision College of Optometrists Higher QualificationsContact Lens Practice Higher Cert CL Dip CL Glaucoma Prof Cert Glau Higher Cert Glau Dip Glau Low Vision Prof Cert LV Higher Cert LV Medical Retina Prof Cert Med Ret Paediatric Eye Care Prof Cert Paed Eye Care Higher Cert Paed Eye Care Ophthalmic Common Clinical Competency Framework (OCCCF) Yes Payment InformationBank Account name Account address Address Line 1 Address Line 2 City County / Region Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Bank Name Sort code Enter your sort code with no dashes.Account number