I confirm that I have given the accurate and complete information.
DECLRATION FORM
Your privacy is important to us, and we want to communicate with our patients in a way which has their consent, and which is in line with data protection law. Please see our Privacy Notice which is available on our website ---------or on request.
By signing below, I am consenting_____________ to process my personal /sensitive personal data (defined by data protection law) to collect, store, disclose and process as per legitimate purpose of the company and store my personal data in company the database.
I ensure my understanding that I have been given the rights and I can withdraw any time by contacting Data Protection officer or __________.