Request for CLUE-2 Licence and NHS Clinical Terms End User Licence

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Organisation Type	Please select from list Clinician, Clinical Department, General Practitice Software Supplier or Developer NHS Trust or Health Authority Other NHS Organisation Other
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I have read the terms and conditions for the use of CLUE and I accept them. I have studied the terms of the NHS Information Authority's End User Licence for use of the NHS Clinical Terms (Version 3). I accept these terms, believe that they are applicable to my intended use of the product and request the Clinical Information Consultancy to issue such a licence in accordance with its Host Licence with the NHS Information Authority. I agree to allow the Clinical Information Consultancy to inform the NHS Information Authority that such a licence has been issued to me by forwarding the details on this form.
Acceptance	Please select from list I have read and accept the conditions noted above. I do not accept the conditions - no licence will be issued and you must NOT use CLUE
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