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GDPR Consent Form

Client Consent Form for Data Sharing and Communication

Practice Name: Get Nutrihelp
Data Controller: Get Nutrihelp
Email: getnutrihelp@outlook.com
Address: 17 Ayston House, Plough Way, London SE16 2LU

Sharing Information for Your Healthcare

As part of your care, Get Nutrihelp may need to share relevant information with other healthcare professionals or service providers to support your ongoing treatment and wellbeing. If we do not receive this consent, we will not be able to coordinate your care with other practitioners, which may reduce the effectiveness of your healthcare.

Please select one of the following options:

I consent to my relevant health information being shared with other healthcare providers involved in my care.

I consent to my relevant health information being shared with my GP, if appropriate.

I do not consent to my relevant health information being shared with other healthcare providers.

Marketing and Information

We would occasionally like to contact you by email with newsletters, educational information, or details of offers and events.

Please select one of the following options:

I would like to receive newsletters and marketing information.

I do not want to receive newsletters or marketing information.

Case Histories and Professional Development

We are committed to ongoing professional development and may use anonymised case information to support practitioner learning and supervision. Your name, address, and contact details will never be shared.

Please select one of the following options:

I consent to my anonymised case data being used for professional development (e.g., clinical supervision, peer discussions, or online practitioner forums).

I do not consent to my anonymised case data being used for professional development.

Your Data Protection Rights

Under the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018, you have the right to:
• Access the personal data we hold about you.
• Request correction of any inaccurate data.
• Request erasure of your data (where legally possible).
• Withdraw consent at any time.
• Lodge a complaint with the Information Commissioner’s Office (ICO) at www.ico.org.uk.

Client records are retained for a minimum of seven years after the date of the last consultation, in line with professional standards and insurance requirements. Records relating to children and young people are kept until the client’s 25th birthday, or 26th birthday if the young person was 17 at their last appointment, whichever is later. In certain cases, such as where records may be relevant to an insurance claim or legal proceeding, they may be retained for longer. All records are securely destroyed once the retention period has expired.

Client Name

Client Signature

Sign here

GDPR Consent Form

Client Consent Form for Data Sharing and Communication

Sharing Information for Your Healthcare

Please select one of the following options:

Marketing and Information

Please select one of the following options:

Case Histories and Professional Development

Please select one of the following options:

Your Data Protection Rights

Client Name

Client Signature

Date