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href="/topics/deconditioning-rehabilitation" title="Deconditioning">Deconditioning</a></li> <li class="leaf menu-mlid-5656"><a href="/topics/emergency-care" title="Emergency care">Emergency care</a></li> <li class="leaf menu-mlid-5657"><a href="/topics/end-of-life-care" title="End of life care">End of life care</a></li> <li class="leaf menu-mlid-5658"><a href="/topics/patient-safety" title="Patient safety">Patient safety</a></li> <li class="leaf menu-mlid-5659"><a href="/topics/patientfamily-involvement" title="Patient/Family Involvement">Patient/Family Involvement</a></li> <li class="leaf menu-mlid-5655"><a href="/topics/peri-operative-care-for-surgical-patients" title="Peri-operative care for surgical patients">Peri-operative care for surgical patients</a></li> <li class="last leaf menu-mlid-5652"><a href="/topics/cga-in-acute-settings" title="Comprehensive Geriatric Assessment (CGA) in acute settings">Comprehensive Geriatric Assessment (CGA) in acute settings</a></li> </ul></li> <li 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All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.</div> </div> <div class="form-item form-type-password-confirm form-item-pass"> <div class="form-item form-type-password form-item-pass-pass1"> <label for="edit-pass-pass1">Password <span class="form-required" title="This field is required.">*</span></label> <input class="password-field form-text required" type="password" id="edit-pass-pass1" name="pass[pass1]" size="25" maxlength="128" /> </div> <div class="form-item form-type-password form-item-pass-pass2"> <label for="edit-pass-pass2">Confirm password <span class="form-required" title="This field is required.">*</span></label> <input class="password-confirm form-text required" type="password" id="edit-pass-pass2" name="pass[pass2]" size="25" maxlength="128" /> </div> <div class="description">Provide a password for the new account in both fields.</div> </div> </div><input type="hidden" name="form_build_id" value="form-6_sdj4EQ8Ww3u2YhagaL4GNzgCt9XnHvHoSwitHIjR4" /> <input type="hidden" name="form_id" value="user_register_form" /> <div id="edit-civicrm-profile-register" class="form-item form-type-item"> <div class="crm-profile-name-unknown"> <div id="crm-profile-block" class="crm-container crm-public"> <div><input name="_qf_default" type="hidden" value="Dynamic:upload" /> <input name="MAX_FILE_SIZE" type="hidden" value="16777216" /> <input name="edit[civicrm_dummy_field]" type="hidden" value="CiviCRM Dummy Field for Drupal" /> <input name="gid" type="hidden" value="" /> </div> <div id="profilewrap1"><fieldset><legend>Name and Address</legend><div id="editrow-prefix_id" class="crm-section editrow_prefix_id-section form-item"><div class="label"><label for="prefix_id">Prefix</label></div><div class="edit-value content"><select class="six crm-select2 crm-form-select" placeholder="" data-option-edit-path="civicrm/admin/options/individual_prefix" data-api-entity="contact" data-api-field="prefix_id" name="prefix_id" id="prefix_id"> <option value=""></option> <option value="2">Dr</option> <option value="1">Miss</option> <option value="3">Prof</option> <option value="4">Professor</option> <option value="5">Prof Dr</option> <option value="6">Sir</option> <option value="7">null</option> <option value="8">Ms</option> <option value="9">Mrs</option> <option value="10">Associate Professor</option> <option value="11">Mr</option> <option value="12">Reverend</option> <option value="13">The Reverend</option> <option value="14">Dame</option> <option value="15">Lady</option> <option value="16">Lord</option> </select></div><div class="clear"></div></div><div id="editrow-first_name" class="crm-section editrow_first_name-section form-item"><div class="label"><label for="first_name"> First Name <span class="crm-marker" title="This field is required.">*</span> </label></div><div class="edit-value content"><input maxlength="64" size="30" name="first_name" type="text" id="first_name" class="big crm-form-text required" /></div><div class="clear"></div></div><div id="editrow-last_name" class="crm-section editrow_last_name-section form-item"><div class="label"><label for="last_name"> Last Name <span class="crm-marker" title="This field is required.">*</span> </label></div><div class="edit-value content"><input maxlength="64" size="30" name="last_name" type="text" id="last_name" class="big crm-form-text required" /></div><div class="clear"></div></div><div id="editrow-email-Primary" class="crm-section editrow_email-Primary-section form-item"><div class="label"></div><div class="edit-value content"></div><div class="clear"></div></div><div id="editrow-phone-Primary-2" class="crm-section editrow_phone-Primary-2-section form-item"><div class="label"><label for="phone-Primary-2">Mobile number</label></div><div class="edit-value content"><input maxlength="32" size="20" name="phone-Primary-2" type="text" id="phone-Primary-2" class="medium crm-form-text" /></div><div class="clear"></div></div><div id="editrow-custom_107" class="crm-section editrow_custom_107-section form-item"><div class="label"><label for="custom_107"> Profession <span class="crm-marker" title="This field is required.">*</span> </label></div><div class="edit-value content"><select data-crm-custom="Profession:Professions_Or_Job" class="crm-form-select required" name="custom_107" id="custom_107"> <option value="">- select Profession -</option> <option value="1">Advanced Clinical Practitioner</option> <option value="3">Care Home Nurse</option> <option value="4">Clinical Fellow</option> <option value="6">Clinical Manager</option> <option value="41">Consultant – Geriatric medicine</option> <option value="8">Consultant - Other specialty</option> <option value="43">Corporate Representative</option> <option value="9">IMT doctor</option> <option value="10">Foundation Year Doctor</option> <option value="11">GP</option> <option value="13">GP Trainee</option> <option value="15">Medical Director</option> <option value="16">Medical Student (Undergraduate)</option> <option value="20">Nurse</option> <option value="21">Occupational Therapist</option> <option value="23">Other HCP role</option> <option value="25">Paramedic</option> <option value="26">Pharmacy Professional</option> <option value="27">Physician Associate</option> <option value="28">Physiotherapist</option> <option value="29">Preceptorship Year for AHP/ Nurse</option> <option value="30">Professor</option> <option value="31">Researcher - Ageing and Age-related conditions</option> <option value="33">Research post/ Scientific role</option> <option value="34">Other pre CCT doctor role</option> <option value="54">Other Senior Doctor/ Physician Role</option> <option value="53">Operating Department Practitioners</option> <option value="42">Registrar (StR) in Geriatric Medicine</option> <option value="36">Registrar (StR) in other specialty</option> <option value="37">SAS/Staff Grade doctor</option> <option value="38">Speech and Language Therapist</option> <option value="39">Student AHP (Undergraduate)</option> <option value="40">Student Nurse (Undergraduate)</option> <option value="45">Therapist - Art, Drama or Music</option> </select></div><div class="clear"></div></div><div id="editrow-job_title" class="crm-section editrow_job_title-section form-item"><div class="label"><label for="job_title"> Job Title <span class="crm-marker" title="This field is required.">*</span> </label></div><div class="edit-value content"><input maxlength="255" size="30" name="job_title" type="text" id="job_title" class="big crm-form-text required" /></div><div class="clear"></div></div><div class="crm-section helprow-job_title-section helprow-post" id="helprow-job_title"><div class="content description">i.e. Consultant Geriatric Medicine, Consultant Practitioner etc</div></div><div id="editrow-custom_213" class="crm-section editrow_custom_213-section form-item"><div class="label"><label for="custom_213"> Place of Work <span class="crm-marker" title="This field is required.">*</span> </label></div><div class="edit-value content"><input data-crm-custom="Profession:Place_of_Work" maxlength="255" name="custom_213" type="text" id="custom_213" class="crm-form-text required" /></div><div class="clear"></div></div><div class="crm-section helprow-custom_213-section helprow-post" id="helprow-custom_213"><div class="content description">I.e. Queens Medical Centre, Amwell GP Surgery etc.</div></div><div id="editrow-birth_date" class="crm-section editrow_birth_date-section form-item"><div class="label"><label for="birth_date">Date of Birth</label></div><div class="edit-value content"><input minyear="1924" maxyear="2024" format="dd/mm/yy" data-crm-datepicker="{"date":"dd\/mm\/yy","time":false,"minDate":"1924-11-23","maxDate":"2024-11-23"}" aria-label="Date of Birth" name="birth_date" type="text" id="birth_date" class="crm-form-text" /></div><div class="clear"></div></div><div id="editrow-city-3" class="crm-section editrow_city-3-section form-item"><div class="label"><label for="city-3">City</label></div><div class="edit-value content"><input maxlength="64" size="30" name="city-3" type="text" id="city-3" class="big crm-form-text" /></div><div class="clear"></div></div><div id="editrow-country-Primary" class="crm-section editrow_country-Primary-section form-item"><div class="label"><label for="country-Primary">Country (Primary)</label></div><div class="edit-value content"><select class="crm-select2 crm-form-select" placeholder="- select Country (Primary) -" name="country-Primary" id="country-Primary"> <option value="">- select Country (Primary) -</option> <option value="1226" selected="selected">United Kingdom</option> <option value="1001">Afghanistan</option> <option value="1002">Albania</option> <option value="1003">Algeria</option> <option value="1004">American Samoa</option> <option value="1005">Andorra</option> <option value="1006">Angola</option> <option value="1007">Anguilla</option> <option value="1008">Antarctica</option> <option value="1009">Antigua and Barbuda</option> <option value="1010">Argentina</option> <option value="1011">Armenia</option> <option value="1012">Aruba</option> <option value="1013">Australia</option> <option value="1014">Austria</option> <option value="1015">Azerbaijan</option> <option value="1212">Bahamas</option> <option value="1016">Bahrain</option> <option value="1017">Bangladesh</option> <option value="1018">Barbados</option> <option value="1019">Belarus</option> <option value="1020">Belgium</option> <option value="1021">Belize</option> <option value="1022">Benin</option> <option value="1023">Bermuda</option> <option value="1024">Bhutan</option> <option value="1025">Bolivia</option> <option value="1250">Bonaire, Saint Eustatius and Saba</option> <option value="1026">Bosnia and Herzegovina</option> <option value="1027">Botswana</option> <option value="1028">Bouvet Island</option> <option value="1029">Brazil</option> <option value="1030">British Indian Ocean Territory</option> <option value="1032">Brunei Darussalam</option> <option value="1033">Bulgaria</option> <option value="1034">Burkina Faso</option> <option value="1036">Burundi</option> <option value="1037">Cambodia</option> <option value="1038">Cameroon</option> <option value="1039">Canada</option> <option value="1040">Cape Verde</option> <option value="1041">Cayman Islands</option> <option value="1042">Central African Republic</option> <option value="1043">Chad</option> <option value="1044">Chile</option> <option value="1045">China</option> <option value="1046">Christmas Island</option> <option value="1047">Cocos (Keeling) Islands</option> <option value="1048">Colombia</option> <option value="1049">Comoros</option> <option value="1051">Congo, Republic of the</option> <option value="1050">Congo, The Democratic Republic of the</option> <option value="1052">Cook Islands</option> <option value="1053">Costa Rica</option> <option value="1055">Croatia</option> <option value="1056">Cuba</option> <option value="1248">Curaçao</option> <option value="1057">Cyprus</option> <option value="1058">Czech Republic</option> <option value="1054">Côte d’Ivoire</option> <option value="1059">Denmark</option> <option value="1060">Djibouti</option> <option value="1061">Dominica</option> <option value="1062">Dominican Republic</option> <option value="1064">Ecuador</option> <option value="1065">Egypt</option> <option value="1066">El Salvador</option> <option value="1067">Equatorial Guinea</option> <option value="1068">Eritrea</option> <option value="1069">Estonia</option> <option value="1203">Eswatini</option> <option value="1070">Ethiopia</option> <option value="1072">Falkland Islands (Malvinas)</option> <option value="1073">Faroe Islands</option> <option value="1074">Fiji</option> <option value="1075">Finland</option> <option value="1076">France</option> <option value="1077">French Guiana</option> <option value="1078">French Polynesia</option> <option value="1079">French Southern Territories</option> <option value="1080">Gabon</option> <option value="1213">Gambia</option> <option value="1081">Georgia</option> <option value="1082">Germany</option> <option value="1083">Ghana</option> <option value="1084">Gibraltar</option> <option value="1085">Greece</option> <option value="1086">Greenland</option> <option value="1087">Grenada</option> <option value="1088">Guadeloupe</option> <option value="1089">Guam</option> <option value="1090">Guatemala</option> <option value="1245">Guernsey</option> <option value="1091">Guinea</option> <option value="1092">Guinea-Bissau</option> <option value="1093">Guyana</option> <option value="1094">Haiti</option> <option value="1095">Heard Island and McDonald Islands</option> <option value="1096">Holy See (Vatican City State)</option> <option value="1097">Honduras</option> <option value="1098">Hong Kong</option> <option value="1099">Hungary</option> <option value="1100">Iceland</option> <option value="1101">India</option> <option value="1102">Indonesia</option> <option value="1103">Iran, Islamic Republic of</option> <option value="1104">Iraq</option> <option value="1105">Ireland</option> <option value="1246">Isle of Man</option> <option value="1106">Israel</option> <option value="1107">Italy</option> <option value="1108">Jamaica</option> <option value="1109">Japan</option> <option 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