Online registration

Please complete our online registration form to register with Bluestones Medical.

Personal details

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Right to work

Professional Registration

Rehabilitation of Offenders Act


Please confirm that you consent to the following by ticking each statement. You must consent to each of these statements in order for us to process your registration.


Please provide details of two references. These must cover at least 3 years of your most recent employment history.


I hereby confirm that the information given within this form is as complete as possible, true and correct and states that I am entitled to work through an agency in the UK. I agree that I will comply with all compliance procedures and ensure that all my documentation is present and correct. I understand that appointment to any position is conditional on satisfactory registration and qualification checks, and that any information disclosed on this registration form will be checked. Any offer of appointment may be withdrawn if you knowingly withhold information, or provide false or misleading information, and that registration may be
terminated should any subsequent information come to light once you have been appointed.

The WTR place a limit on the average number of hours per week that can be worked. If you are prepared to work more than the stipulated average hours per week (48 hrs) and therefore opt out of the WTR agreement, please complete your registration by submitting this form.