DATA COLLECTION FORM

This can be used for any of your forms:

COVID-19 Client Consent Form

New Patient Consent Form.

 

This is where the wording for your form goes. The privacy policy will need updating to comply with data protection laws. The boxes below can be changed to include any information you need to receive and I have used a check box for the signature.

The filled in forms will arrive in your choice of email address and I have used elizabethme66@gmail.com for you now. Please fill in the form and you will receive an email with the information.

 

 

Signature

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