Book staff Home - Clients - Book staff Please enable JavaScript in your browser to complete this form.Practice InformationContact name *FirstLastPosition *Business namePhone number *Email address * Staff RequirementsShift details *Please provide details of shifts required, including: dates, times and number of staff required.Any other relevant details?Type of cover *Dental NurseDental Hygenist/TherapistDentistPurchase order numberYour PO number (if required). Location DetailsAddress *Please provide the address for the place of workPostcode *Health & safety *Please notify of any H&S risks at the practice that the locum needs to be aware ofCar parking detailsLocationUse 'what3words'Please describe the location belowPlease provide details for where the locum can park and any other relevant information.Enter the what3words for the car parking location(what3words is an app which allows you to pinpoint a location very accurately) Search for the app or visit www.what3words.com.Submit Booking Request