Groote Schuur Hospital Neonatal Staff Details Submission

Please check your details carefully before submitting. Fields marked with an asterisk are required.

1. Staff Details

Staff category

Full name and surname

Preferred name

ID number for Wi-Fi access

Speed dial number

Cellphone number

2. Email and Digital Access

Email Address

UCT Email AddressNot mandatory.

3. Neonatal Start and End Dates

Start date

End date

4. Leave Details

Leave statusNot on leaveOn leave

5. Photo Upload (Optional)

Photo

6. Confirmation

I confirm that I have read the infection control requirements and understand that no nail polish is allowed on hands. I confirm that the information provided is accurate and may be used for neonatal unit orientation and communication purposes.

This form creates a pre-filled WhatsApp message on the staff member's own device and submits selected details to the linked admin sheet. Photos are optional and may need to be attached in WhatsApp.

Form created by Shakti Pillay, 31 May 2026.

Groote Schuur Hospital Neonatal Staff Details Submission

1. Staff Details

2. Email and Digital Access

3. Neonatal Start and End Dates

4. First Day Post-Call Status

4. Leave Details

Leave Relief

5. CPR Training During the Neonatal Rotation

5. Photo Upload (Optional)

6. Confirmation