Consent Form | mysite

I have read, understood and accept the Privacy Policy

No

Yes

I have read, understood and accept the terms of the therapy contract

No

Yes

I consent to the following

I consent to the storage and processing of my personal information for the purposes described in the privacy policy & contract

I consent to my data being stored for up to 5 years after therapy ends, unless an ethical reason for longer arises

Informed Consent