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16 | 16 | <div class="nhsuk-grid-column-two-thirds"> |
17 | 17 |
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18 | 18 | <h1 class="nhsuk-heading-xl">Apply to use the Record a vaccination service</h1> |
19 | | - |
20 | | - <p>We'll ask you for some contact details, including an NHS-approved email address. See the <a href="https://digital.nhs.uk/services/care-identity-service/applications-and-services/apply-for-care-id/care-identity-email-domain-allow-list" target="_blank">list of approved email domains (opens in new tab)</a>.</p> |
21 | | - |
22 | 19 |
|
23 | | - <p>Your NHS region will then review your application. We'll let you know within within 7 working days if it has been approved.</p> |
| 20 | + <p>Your NHS region will review your application. We'll let you know within 7 working days if it has been approved.</p> |
24 | 21 |
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25 | 22 |
|
| 23 | + <div class="nhsuk-form-group"> |
| 24 | + <h2 class="nhsuk-label-wrapper"> |
| 25 | + <label class="nhsuk-label nhsuk-label--m nhsuk-u-margin-bottom-1" for="organisationCode"> |
| 26 | + NHS organisation or community pharmacy |
| 27 | + </label> |
| 28 | + </h2> |
| 29 | + <div class="nhsuk-hint" id="organisationName-hint"> |
| 30 | + Search by name or ODS code |
| 31 | + </div> |
| 32 | + <select class="nhsuk-select" id="organisationCode" name="organisationCode" |
| 33 | + data-module="autocomplete" data-autoselect="" data-display-menu="" data-min-length="" data-show-all-values="" data-show-no-options-found=""> |
| 34 | + <option selected value=""></option> |
| 35 | + |
| 36 | + {% set options = [] %} |
| 37 | + |
| 38 | + {% for code, name in data.nhsTrusts %} |
| 39 | + {% set options = (options.push({ |
| 40 | + label: name + " (" + code + ")", |
| 41 | + value: code |
| 42 | + }), options) %} |
| 43 | + {% endfor %} |
| 44 | + |
| 45 | + {% for code, data in data.nhsPharmacies %} |
| 46 | + {% set options = (options.push({ |
| 47 | + label: data.name + ", " + data.address + ", " + (data.postcode | upper) + " (" + code + ")", |
| 48 | + value: code |
| 49 | + }), options) %} |
| 50 | + {% endfor %} |
| 51 | + |
| 52 | + {% for option in (options | sort(false, true, "label")) %} |
| 53 | + <option value="{{ option.value }}">{{ option.label }}</option> |
| 54 | + {% endfor %} |
| 55 | + </select> |
| 56 | + </div> |
| 57 | + |
| 58 | + |
| 59 | + |
26 | 60 | <form action="/regions/v1/onboarding1" method="post"> |
27 | 61 |
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28 | 62 |
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