Clinical Impact Awards: application form

Application form for the 2023 Clinical Impact Awards competition.


2023 Clinical Impact Awards: application form


Application form for consultants and academic GPs applying to the 2023 national Clinical Impact Awards competition.

All applications are completed through our online application system.

You can use the form on this page to work on your application offline before completing it on the online system. The form is available in Word and OpenDocument formats.

See also Clinical Impact Awards: application guidance.

Updates to this page

Published 18 March 2022
Last updated 8 March 2023 + show all updates
  1. Updated to publish the 2023 application form.

  2. Clarified on the downloadable form that character limits include spaces and carriage returns.

  3. Added link to online application system.

  4. First published.

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