LPT Eating Disorders Document Upload PLEASE ONLY USE THIS FORM IF YOU HAVE BEEN ASKED TO SEND US A DOCUMENT. Which clinician is this upload for?Clinician Name*PLEASE SELECTAlison HallBarbara ThompsonCaroline WebbCheryl LoganDebbie WhightKatie RickettsKerry CheekLaura MumfordLesley MeadowsNavjot BediRachael LawrenceRebecca CashmoreSamuel QuimbyYusuf MangeraThe member of staff is not listedI'm not surePlease type the clinicians name below:*Please record your details:This is to ensure we can link your file to the correct recordWhat is your Name?*What is your Date of Birth?* Date Format: MM slash DD slash YYYY What's your home post code?*Is there any information you want to share with the clinician?Information to be shared:Please attach your file belowIf sending multiple files please submit one at a time.File*PLEASE NOTE: The maximum file size is 25MB, if your file is larger than this you will need to split it and send it as separate files.Please ensure your submission meets the below criteriaPlease tick below to confirm that* you agree that the document adheres to the below criteria:- You have been asked by a clinician to submit a document. - By submitting this document you are consenting to it being shared with your clinician. - If you are another professional, please ensure the document is in line with your local policy\guidelines.
