Forms

Annual Conference 2023 Bursary Fund Application

A limited number of Annual Conference 2023 bursaries will be made available to those members and CSRH Trainees wishing to attend the event. The bursaries cover in-person tickets only.

The application deadline is 9:30 AM on Monday 30 October 2023

The Events Committee will review all applications that are submitted by the deadline and we will notify you of the outcome of your application by email. 

Application for recertification of Faculty Registered Trainer (FRT) status

Interim arrangements - recertification of Faculty Registered Trainer status

All FRTs are required to apply for recertification of FRT status on a 5 yearly cycle. This recertification form is specifically for any FRT who achieved by any route other than by being a GP Trainer. If you achieved FRT status via the GP-Trainer route, please use the recertification form found here.

Please refer to recertification information for details regarding recertification during the Covid-19 pandemic. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Application for recertification of FSRH Registered Trainer - GP Trainer

Application for recertification of FSRH Registered Trainer (FRT) status for NHS Education local Deanery approved GP Trainers (not holding the Keele University/FSRH Postgraduate Course in Medical Education (SRH) or LoC MEd)

FRTs who came through the Deanery approved GP Trainer route

The General Training Committee recognises that current GP Trainers (as approved under the NHS GP training framework across the UK) undertake ongoing medical education as part of the requirements to maintain their skills and knowledge as GP Trainers. To reflect the need to show competence in specific FSRH training qualifications, FRTs who are approved GP Trainers and do not possess the Keele University/FSRH Postgraduate Course in Medical Education (SRH) or LoC MEd will be required to recertify as FRTs using a modified form of the requirements for non-GP Trainers.

Recertification for a GP Trainer who also holds the LoC MEd or Keele University/FSRH Postgraduate Course in Medical Education (SRH)

GP Trainers who possess a Keele University/FSRH Postgraduate Course in Medical Education (SRH) or LoC MEd should recertify using the form for trainers holding the Keele University/FSRH Postgraduate Course in Medical Education (SRH) or LoC MEd. FRT status achieved through the LoC MEd or Keele University/FSRH Postgraduate Course in Medical Education (SRH) route cannot be recertified once it has lapsed. Should a GP trainer cease to hold the GP Trainer status, they would lose their FRT status unless they also hold FRT status through the recertified LoC MEd or the Keele University/FSRH Postgraduate Course in Medical Education (SRH) route.

Recertification requirements

  • Hold a current license to practice and hold trainer approved status from GMC/NMC.
  • Each yearly subscription paid when due.
  • Recertification of DFSRH/MFSRH/FFSRH.
  • 50 credits in core SRH (in this total you may count the credits used to recertify your FFSRH/MFSRH/FSRH Diploma qualification).

Please list below a record of your learning and activity in core SRH to the value of 50 CPD credits over the previous 5-year period. In the light of GMC requirements that GP Trainers, as Approved Educational Supervisors, are required to maintain their medical education and teaching experience, no further evidence of this is required.

Please refer to recertification information for details regarding recertification during the Covid-19 pandemic. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Application for Recertification of the Letter of Competence in Intrauterine Techniques (LoC IUT)

This self-declaration form is to support the recertification of the FSRH Letter of Competence in Intrauterine Techniques (LoC IUT). It should be completed and submitted no sooner than 6-months prior to your recertification deadline. 

To recertify you need to confirm you have achieved the following Continuing Professional Development credits and activities over the past five years. Please refer to "How do I meet the CPD Requirements for my Letter of Competence recertification?" for guidance and requirements. 

Please refer to recertification information for details regarding recertification during the Covid-19 pandemic. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Application for Recertification of the Letter of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI-IR/IO)

This self-declaration form is to support the recertification of the FSRH Letter of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI-IR/IO). It should be completed and submitted no sooner than 6-months prior to your recertification deadline. 

To recertify you need to confirm you have achieved the following Continuing Professional Development credits and activities over the past five years. Please refer to "How do I meet the CPD Requirements for my Letter of Competence recertification?" for guidance and requirements. 

Please refer to recertification information for details regarding recertification during the Covid-19 pandemic. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Apply or Re-register to become an Abortion Care Principal Trainer

Before completing this form, please ensure that you have a MyFSRH account. Find out how to create a MyFSRH account here.

Please complete all parts of this form before clicking submit.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Apply or Re-register to become an Ultrasound Principal Trainer

Before completing this form, please ensure that you have a MyFSRH account. Find out how to create a MyFSRH account here.

Please complete all parts of this form before clicking submit.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form.

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Apply or Re-register to become a Vasectomy Principal Trainer

Before completing this form, please ensure that you have a MyFSRH account. Find out how to create a MyFSRH account here.

Please ensure you complete all sections of this part of the form as it will help us to process your application more quickly.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form.

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Become an FSRH speaker

Thank you for your interest in becoming an FSRH speaker.

Please give us some details for us to contact you on and also some potential themes or topics for your talk. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

Copyright Permission Request Form

All requests for using any FSRH published work should be submitted via our online form below. Please complete all parts of the attached form which will then be forwarded to the relevant group for final decision.

Please note that upon receipt of full information required to make assess the request, you should receive a decision within 10 working days.

Using our materials in a clinical setting is not restricted

Please note there is no restriction on our materials for the purposes listed below. 

  • To support and inform your day-to-day clinical work,
  • For personal use for revision for exams or study purposes, or to show to patients in a clinical setting

Using our Materials for other purposes

However, if you wish to use the our published materials to present at a conference event, or to support the delivery of study courses in the form of printed or digital course materials, we would ask that you seek copyright approval from us beforehand. If you are a commercial organisation benefiting financially from using our materials, we may charge you for the use, will we confirm this when we contact you.

Please fill in the form below if this describes your situation.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form.

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.