Submit a request – King's College Hospital

For LEAP service or support requests, please select the form labelled 'LEAP service/support form. For EPIC related enquiries then please select the appropriate EPIC support form from the list of four available.

Your email address

Who is this for?

Do they have a LEAP Account?

First Name

Last Name

Position Title

Staff Group

Area of work

Care Group

Department

Ward

Professional Registration Number

Some requests can not be actioned if this is not provided. List N/A if not applicable.

Manager's Name

Manager email

System Login(optional)

This is what you use to login to Trust computers (ex. JSmith)

Email address

Your work email address

Description of issue

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Attachments(optional)

Add file or drop files here