HealthLink Workplace Application Form

Please complete this form to apply for access to submit CareConnect e-Referrals using HealthLink Workplace.

You will be notified by HealthLink once your application is approved and we have activated your login. The process of approval may take three working days.

NB. All users needing access to HealthLink Workplace will need access to a HealthSecure digital certificate. If you don’t have a HealthSecure digital certificate, please contact the Registration Authority on 0800 117 590 or email [email protected].  If your organisation has a ‘site’ certificate, the same digital certificate can be listed for each user.

    Your organisation details

    User 1 Details

    User 2 Details

    User 3 Details

    User 4 Details

    User 5 Details

    User 6 Details