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Referral Form
Healthcare provider referral form
Please complete this form giving as much information as possible to assist the therapist using the most suitable treatment.
Data Protection Notice
In order to bring our services to our users, we need to store the information supplied on this form. It is treated in strictest confidence. We never share data information with anyone who does not work with us and needs to process this information. We use it to help our beneficiaries have the best treatment possible, to advise of events we have and to thank people for donations and support. We also extract anonymous data for statistics when making applications for funding. It is stored in compliance with GPDR2018. You have the right to request us in writing to destroy these details. Please see our website www.theharmonytherapytrust.org.uk for full details of our Data Protection Policy.
Treatment will commence after the Therapist has undertaken a full written consultation, which is available to the Client-patient & the Healthcare Practitioner on request.
Please return by post, or email attachment, to: The Administration Office, The Harmony Therapy Trust, The Harty Room at the Healthy Living Centre, off Royal Road, Sheerness, ME12 1HH. Telephone: 01795 663050 / email: thtt2010@gmail.com