Page 1: Basic Details

This form should be completed at the agreed best time following your return to work - advised 2 weeks post-return.

This form is to be completed by the trainee alongside the Educational Supervisor/Training Programme Director/College Tutor - as most appropriate for the individual trainee and specialty.

Further information regarding the Supported Return to Training Programme (SuppoRTT) within the West Midlands can be accessed here.

*Please note* when you have completed the questions, there is an option to download a copy of your responses.  If you will need to refer to these at a later date, we recommend that you do download these as they will not be available afterwards