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Bridget External User Request Form
Unique ID
Do you have access to Bridget yourself?
(Required)
Yes
No
Unfortunately, we can only accept requests for external user access from you if you have Bridget access already yourself.
Your Name
(Required)
Forename
Surname
Your NHS.net Email Address
(Required)
Do you need to request access for more than one person?
(Required)
No, just 1 person
Yes, more than 1 person
Would you prefer to fill out this form for each person, or submit an Excel spreadsheet with a list of people?
(Required)
I’ll fill in this form for each person separately
I’ll fill in the Excel spreadsheet and upload it
We recommend that for 5 or more people, it may be quicker for you to fill in the spreadsheet.
User Details
Download the
Bridget External User Request Form
and save it to your computer. Fill it in, with one row per person, and save it. Then, upload it below.
Select the Excel spreadsheet file(s) from your computer
(Required)
Drop files here or
Select files
Accepted file types: xls, xlsx, Max. file size: 50 MB.
Please make sure you have saved it first.
Their Name
Forename
Surname
Their NHS.net Email Address
(Required)
Enter Email
Confirm Email
This account must be
active
.
Their Job Title
(Required)
Their Organisation
(Required)
Agency
APCOA
Apleona
Capsticks
Change Grow Live Charity
City Health Care Partnership
Edge Hill University
Fresenius
GFM UK
Hull York Medical School
Humber and North Yorkshire Integrated Care Board
Humber Teaching NHS Foundation Trust
Leeds Beckett University
Liverpool University
Lloyds Pharmacy
Modality Partnership Hull
OCS
Prestige
RSM UK
Sheffield Hallam University
Teeside University
Unison
University of East Anglia
University of Hull
University of Leeds
University of Lincoln
York and Scarborough Teaching Hospitals NHS Foundation Trust
York St John University
Other
What is their employing organisation?
(Required)
Have they had access to Pattie or Bridget before?
(Required)
Yes
No
Please give details.
(Required)
What is the end date for Bridget access for this person?
(Required)
Day
Month
Year
For external users, we have to set an end date, as they are not part of the ESR leavers process. If you don’t know, please estimate.
Email
This field is for validation purposes and should be left unchanged.
