Clinical Safety Compliance
Complete the following form to request clinical safety services from Bordercross Health.
If you can't find what you're looking for, please reach out to us
contact@bordercross.health
Which product are you implementing?
*
Please Select
Accurx Ambient Scribe (Tandem)
Accurx Patient Triage
Anima Documents
Anima Scribe
Anima Triage
Blinx Digital Front Door/ Triage
eConsult
EMIS Web/ EMIS X
Heidi AI Medical Scribe
InTouchNow
iPlato
Lexacom Ambient AI
QuantumLoop AI
Rapid Health
Tortus
Other
If you are implementing multiple products, please complete this form again.
Product name
Your details (key contact)
Name
*
First Name
Last Name
Your email address
*
This must be an NHS email address eg. example@nhs.net
Role
e.g. Practice Manager
Contracting Organisation's Details
Enter the ODS Code
*
Organisation name
ICB or health board name
Are you signing up as a group? Click No if your ICB has directed you to us and is leading this assessment
*
Yes
No
What is your group reference code?
Your organisation's named clinical lead for this product implementation
*
First Name
Last Name
Role
*
e.g. General Practitioner
Organisation's named clinical lead email
*
This must be an NHS email address eg. example@nhs.net
Do you have a designated Clinical Safety Officer (CSO)?
Yes
No
What is your electronic patient record system?
Please Select
EMIS
SystmOne
Medicus
Vision
Other
Electronic patient record system name
I agree to Bordercross Health's privacy policy (https://www.bordercross.health/privacy) and terms of service (https://www.bordercross.health/terms)
*
Yes
Submit
Should be Empty: