Dashboard User Access Form

Please complete this form to allow your user account on tableau to be created. Once you are setup you will receive an email from Tableau to validate your credentials.

Date

Full Name(Required)

Job Title(Required)

Email Address(Required)

This is the email you will use to access the dashboard

Contact Telephone Number(Required)

User access level (only choose one unless the user has a dual role)(Required)

ICB

PCN

Practice

N/A

Name of the establishment (ICB, PCN or Practice)(Required)

ODS Code(Required)

Project Name i.e. UK Asthma Service(Required)