Healthwatch Kirklees and Healthwatch Calderdale Consent Form

Please note that Veera delivers the Healthwatch Kirklees and Healthwatch Calderdale services.

We want to make sure you understand how we use your information and that you are happy for us to do so.

Healthwatch Kirklees and Healthwatch Calderdale may need to speak to other people or organisations to help with your enquiry, concern, or experience.

We will always ask for your permission before we share your personal information.

Thank you.

We will be in touch soon.

1. Contacting and sharing information with other organisations

I agree that staff from Healthwatch Kirklees or Healthwatch Calderdale may contact the organisation(s) and people named below to discuss the concern, question, or experience I have told you about.

I understand that information about this matter may also be shared with other Healthwatch Kirklees and Healthwatch Calderdale staff, when needed, to support me.

2. Giving consent for someone to speak to Healthwatch on your behalf

If you’d like someone you know to help you talk to Healthwatch or share information with us about the concern, question, or experience you’ve discussed, please give your consent below.

I give permission for the person(s) named below to talk to Healthwatch and share information on my behalf.

3. How we use and store your information

We will store your personal information securely and use it only to help with the concern you have shared with us. This is done in line with the General Data Protection Regulation (GDPR) and with the Data Protection Act 2018.

You can:

  • Ask to see the information we hold about you.
  • Ask us to correct or delete your information.
  • Withdraw your consent at any time.

To do this, please contact us at Healthwatch Kirklees, info@healthwatchkirklees.co.uk, or 01924 450379

Further information about how we handle your data is available in our Privacy Statement.

We need your consent to store your personal information securely, as described above.