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Individual UK patient registration form

> Go back to Register your condition page

Consent form

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If you require the advocacy support service to liaise with other services or act on your behalf please contact us on 0345 389 9901

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Privacy statement

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We will always store your personal details securely. We will use them to provide the service(s) that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We will not pass on your details to anyone else and we will only share them if required to do so by law. Read our full data protection, GDPR and privacy policies here or alternatively you can request a copy by contacting the office.

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