IMMQAS External Quality Assessment
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Registration Form
Please enter as much information as you can to help us validate who you are.
Each registration will be evaluated before access is given to the system.
Please enter the same email address twice, as this will be the main contact point and we need to ensure we can contact you.
If we need more information we will contact you via your email address.
If you are unsure about any registration details, please contact Dina Patel at
eqacases@immqas.org.uk
UK NEQAS Participant Number
Full Name
Email Address
Confirm Email
Grade
Please Select
Medical Consultant
Clinical Scientist Grade C
Clinical Scientist Grade B (lower)
Clinical Scientist Grade B (upper)
Clinical Scientist Grade A (Trainee)
Bio-Medical Scientist Grade 4
Bio-Medical Scientist Grade 3
Bio-Medical Scientist Grade 2
Bio-Medical Scientist Grade 1
Bio-Medical Scientist Grade Trainee
Specialist Registar
Hospital Address
Address Line 2
Address Line 3
Town/City
Region
Country
Postcode
Primary Tel No.
Secondary Tel No.
Fax No.
