Please fill in the following form in order to register as a Responder. Please note that by pressing the submit button you agree with our terms and conditions. After registration we will send you an activation code in order for you to verify your email address. You can activate your account at your convenience; if you lose your activation code you can request a new one at any time.

We have to check our responders with the respective registration body. We can some times do this instantly, please allow up to 24 hours.

First Name: *

Last Name: *

Email: *

  

Mobile Number: *

  

Occupation: *

Select Ambulance Care Assistant Ambulance Technician Coastguard Community First Responder Dentist Doctor Fireman/woman First Aider (e.g. Red Cross/St John) Flight Crew Member (first aid trained) Lifeboat Crew Medical Student (first aid qualified) Mountain rescue Nurse Nursing Student (first aid qualified) Occupational Therapist Operating Department Practitioner Other Health Student (first aid qualified) Paramedic Physiotherapist Poiceman/woman Other

Registration Body: *

Registration Number: *

Verifying Organisation:

Africa: NMS Australia: Ambulance Victoria Australia: AREMT Australia: Cardiac Safe Australia: ECU Australia: Kangaroo Island First Responders Australia: MedSTAR (SA) Australia: Michael Hughes Foundation Australia: NSW Ambulance Australia: Queensland Ambulance Australia: Read First Aid Ltd Australia: RERN Australia: Royal Hobart Hospital Australia: St John Ambulance (WA) Australia: Surf Life Saving (NSW) Australia: Sydney HEMS Australia: Take Heart Australia Australia: The Alfred Hospital - Centre for Health Innovation Australia: Victoria - Emergency Medical Response Brazil: Garatéa Brazil: Garatéa Joinville Canada: Gabriola Fire Department Canada: Niagara Health System Canada: Paramédics du Québec Finland: FinnHEMS GoodSAM India : SaveLIFE Foundation India: Kolkata Medical Emergency System (Mission Arogya & Arogya HomeCare) Ireland: CFR Ireland Ireland: Dublin Fire Brigade ITALY: 118 Azienda Sanitaria di Firenze Jersey: Care Software Solutions Malaysia: St John Ambulance - Penang New Zealand: Bay of Plenty District Health Board New Zealand: Northern Regional Alliance New Zealand: St John Ambulance Norway: Safety 365 UK: Bay Search and Rescue UK: Blackpool Teaching Hospitals NHS Foundation Trust UK: Brighton Marathon UK: Dartford and Gravesham NHS Trust UK: Devon and Cornwall Police UK: Dorset Police UK: East Anglia Air Ambulance UK: East Midlands Ambulance Service UK: East Neuk First Responders UK: Hatzola NorthWest UK: Hereford and Worcester Fire and Rescue Service UK: Isle of Mull and Iona Community First Responders UK: Kent/Surrey/Sussex Air Ambulance UK: Leicestershire and Rutland 4 x 4 Response UK: LIVES (Lincolnshire Integrated Voluntary Emergency Service) UK: London Ambulance Service UK: London's Air Ambulance UK: Lowland Rescue UK: Protocol360 UK: Saline First Responders UK: Sandpiper Wildcat UK: Scot Medical Ltd UK: SkillBase First Aid UK: St John Ambulance UK: Wiltshire Police USA: Emergent USA: Maryland Montgomery Country Fire And Rescue Service USA: Valhalla Volunteer Ambulance Corps   

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Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Islands Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Terms and Conditions :

Welcome to the GoodSAM website. Terms and Conditions By downloading our services, continuing to browse and use this website and/or using our technology, you are agreeing to comply with and be bound by the following terms and conditions of use, which together with our privacy policy govern GoodSAM"s relationship with you in relation to our provided apps and website. If you disagree with any part of these terms and conditions, please do not use our technology or our website. 1. Terms 1.1 The term "GoodSAM service providers" or "us" or "we" refers to the owners of the apps and this website. The term "you" refers to the user or viewer of our website. The terms "GoodSAM responders" and "GoodSAM alerters" refer to users of our technology, as defined below. 1.2 "GoodSAM Responders" consist of doctors, nurses, paramedics or registered first aiders who can provide basic life support and first aid while awaiting the emergency services. They download the GoodSAM responder App and in doing so agree to be notified of emergencies in their vicinity. Their actions are voluntary "Good Samaritan" acts and by no means replace the emergency services. 1.3 "GoodSAM Alerters" are members of the public who download our app and opt to voluntarily make use of our technology in an emergency situation, in order to receive immediate help from registered GoodSAM responders. 2. Liability: 2.1 "GoodSAM Responders" undertake "Good Samaritan" Acts in good faith as independent practitioners. Neither they nor GoodSAM Ltd are liable for actions or omissions that result from the care they provide or are unable to provide. Similarly GoodSAM Ltd cannot be held liable for any injury or misadventure that occurs to either the responder, the alerter or any other person as a result of the use of our services, this includes but is not limited to issues relating to the malfunction of our services and technical matters relating to the GoodSAM app, GPS matters or location inaccuracies and clinical matters arising from the action or inaction of a GoodSAM user. 2.2 All GoodSAM responders are required to have indemnity - if a member of an organisation such as the MDU / MPS you are probably already covered for Good Samaritan Acts and, if you follow our code of conduct, that should be sufficient. Check with your organisation. 2.3 GoodSAM does not seek financial remuneration from use of the App from either Alerters or Responders and no financial remuneration will be provided to Alerters or Responders either for perceived failures in the system or for acts performed. 2.4 GoodSAM does not replace the statutory emergency services. 3. Terms of use 3.1 The use of our technology, our services and this website is subject to the following terms of use: 3.2 GoodSAM is a tool that utilizes the latest in App development and is developed to provide a rapid first aid response to critical emergencies, by connecting patients who need immediate medical attention to the nearest independently trained first aid personnel. 3.3 The use of our technology, either as a GoodSAM alerter or responder, is entirely at your own risk, for which we shall not be liable. 4. Responder Responsibilities and Agreement: 4.1 It is the responsibility of the individuals who register as GoodSAM responders to ensure that their registration with the relevant governing body is current and that they have up to date first aid and basic life support skills. Their first aid qualification must include basic life support and must not have expired. If it has expired the responder must de-register from the system until re-certified. 4.2 Although medico-legal action following Good Samaritan acts is extremely rare, responders should have indemnity cover in addition to that provided by their employer (since most acts will occur outside of the work place). GoodSAM Ltd does not provide this cover. 4.3 If a user fraudulently attempts to register as a responder when they are not registered with the authority they claim to be registered with (e.g. GMC/RCN), then they will be reported to the local legal force to deal with such fraud and barred from using any GoodSAM services. 4.4 Before attending an incident you MUST ensure optimal scene and personal safety. If in doubt, await the emergency services. GoodSAM Ltd cannot be held liable for any personal injury or loss that occurs as a result of you attending an incident. 4.5 By registering as a responder, you agree that have you read and will abide by the GoodSAM code of conduct, outlined below. GoodSAM Code of Conduct The purpose of the GoodSAM App is to enable immediate life saving assistance prior to the statutory ambulance service arriving. It is imperative that responders providing Good Samaritan acts do not delay transfer to definitive care. As such, the following code of conduct containing 6 basic rules has been established: 1) A responder must ensure that their knowledge and skills are current. If formal certification is out of date then acting as a responder must NOT occur. 2) A responder should arrive by foot. Only in especially remote locations should driving to a location be considered and the rules of the road apply fully. Since not officially dispatched, speeding or blue light driving is not allowed. 3) A responder should only respond if fully alert and prepared (do not respond if alcohol has been consumed) 4) A responder MUST NOT go outside of his / her skill set. BASIC LIFE SUPPORT and AED use are all that should be provided when appropriate. 5) Upon arrival of the statuary emergency services care MUST be handed over immediately. 6) The respondent must ensure that their knowledge and skills are currentand that they have undertaken a formal certified course in immediate life support/first aid and that such certification remains valid. If such certification lapses then a respondent should deregister from the service until it has been renewed. 5. Alerter Responsibilities and Agreement: 5.1 The GoodSAM technology is for EMERGENCY USE ONLY. This must be life orlimb threatening emergencies such as: Cardiac arrest, severe trauma (e.g. road traffic accident), or peri-arrest acute medical emergencies (e.g. severe asthma). It MUST not be used for minor ailments, chronic complaints or general "help". As an alerter you agree to not use the resource unless the incident is such an EMERGENCY. Repeated use of the resource in non emergency situations will result in your phone being barred from GoodSAM services. If your use puts responders or others in danger, the appropriate legal action will be perused and the local police force informed. 5.2 You understand that GoodSAM Ltd, the responders and other bystanders are performing "Good Samaritan" acts in good faith. Under no circumstances, if you have used the technology, will you pursue any medico-legal or other claim against GoodSAM Ltd, the responder or other bystanders. 6. Misuse of GoodSAM services: 6.1 All our GoodSAM responders and alerters' devices are assigned unique identification numbers. If a user registers fake alerts or misuses the services, whether as a Responder or Alerter, their device may be banned from using the technology. Further legal action may be taken against the user if appropriate. 7. Additional terms: 7.1 The content of the pages of this website is for your general information and use only. It is subject to change without notice. Neither we nor any third parties provide any warranty or guarantee as to the accuracy, timeliness, performance, completeness or suitability of the information and materials found or offered on this website for any particular purpose. You acknowledge that such information and materials may contain inaccuracies or errors and we expressly exclude liability for any such inaccuracies or errors to the fullest extent permitted by law. 7.2 Your use of any information or materials on this website is entirely at your own risk, for which we shall not be liable. It shall be your own responsibility to ensure that any products, services or information available through this website meet your specific requirements. 7.3 This website contains material which is owned by or licensed to us. This material includes, but is not limited to, the design, layout, look, appearance and graphics. Reproduction is prohibited other than in accordance with the copyright notice, which forms part of these terms and conditions. 7.4 All trademarks reproduced in this website, which are not the property of, or licensed to the operator, are acknowledged on the website. Unauthorized use of this website may give rise to a claim for damages and/or be a criminal offense. 7.5 From time to time, this website may also include links to other websites. These links are provided for your convenience to provide further information. They do not signify that we endorse the website(s). We have no responsibility for the content of the linked website(s). 7.6 Your use of this website, our technology and any dispute arising out of such use of the website and our services is subject to the laws of England, Northern Ireland, Scotland and Wales. 8. Copyright Notice 8.1 All content is copyright of GoodSAM service providers. If you wish to reuse any of our content please contact us first to obtain permission. 9. Privacy Policy 9.1 Your personal data is secured on our servers. We will not sell, distribute or lease your personal information to third parties unless we have your permission or are required by law to do so. 9.2 You may request details of personal information which we hold about you under the Data Protection Act 1998. If you would like a copy of the information held on you please email info@goodsamapp.org If you believe that any information we are holding on you is incorrect or incomplete, please email us as soon as possible, info@goodsamapp.org . 9.3 We will correct any information found to be incorrect as soon as possible after it has been brought to our attention.

I confirm that my Basic Life Support Skills are current & that I am over 18 years old.

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