Please fill in the form below to join the Health Forum. If you would like a printed version of this form, please contact Paula Martin, Patient Engagement Officer, by calling 01206 918707 or emailing firstname.lastname@example.org.
The information you provide below will be used to contact you in future. If you do not wish to be contacted via any of these methods (eg. phone, text, email) please leave that particular line entry blank. We would prefer to have an email address. The privacy and confidentiality of your information is important to us. As an organisation we adhere to the principles of the Data Protection Act and NHS Confidentiality Code of Conduct detailed below.
The information supplied in this form will be kept securely by NHS North East Essex Commissioning Group, and will only be used for public membership purposes. It will be treated with complete confidentiality under the Data Protection Act, i.e. it will not be shared with third parties unless you have given express consent for us to do so. The Data Protection Act 2018 regulates the collection, storage, processing and disclosure of personal data and also gives rights to individuals about whom information is recorded. If you want to know more about how we will store and use your information, please contact Corporate Business Manager on 01206 918 703.« Back