Please confirm the following and agree with the declaration:
1. The information given is correct and I have been advised to consult my GP before starting any weight loss programme.
2. I understand the importance of following selected Step according to directions given by my Consultant and additional literature supplied by CWP
3. If my health status/medication changes while using any CWP Step, I agree to notify my Consultant.
4. I understand that there is a legitimate interest in CWP and my Consultant holding the data on the Personal Record Form in conjunction with my use of the Programme. I understand it may be necessary for you to provide data to medical professionals and vice versa in relation to me starting the Programme and that this is a vital interest which forms the legitimate basis for processing.
5. I am aware that it is my responsibility as a client to have regular medical reviews with my GP to assess any medication adjustments.
6. I will be supplied with the relevant CWP Booklet and CWP privacy notice by my Consultant and I have read and understood these prior to completing this form.