Transforming Lives Through Clinical Expertise and Holistic Wellness

We take your privacy very seriously and will take all necessary steps to protect your data, sensitive information and personally identifiable information. We comply with the Data Protection Acts and all relevant medical confidentiality guidelines. Your confidential medical information will only be disclosed to those involved with your treatment.

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Your Declaration

 

By submitting this form you confirm the following:

 

• I confirm I have read and understood the content of this consent form

• I consent to undertake an assessment and recommended treatment (if applicable)

• I consent to DW Therapies storing my personal and medical information, during my referral period and for as long after discharge, as is required by law

• I consent to DW Therapy sharing relevant personal & medical information with other clinicians, including my GP (if appropriate)

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