Herefordshire Mind has made recent changes to our data policy please review our new Data consent statement and sign/click to agree to our terms and conditions.
Why we need your information
To support you, Herefordshire Mind needs to collect and keep some information about you. This may include your name, contact details, and information about your health, wellbeing, and support needs.
We look after your information carefully and follow UK data protection laws.
What you are agreeing to
By signing this form, you agree that Herefordshire Mind can:
Keep and use information from referral forms and requests for support.
Keep notes and records about the support you receive.
Contact you while you are using our services.
Share information within Herefordshire Mind so that you do not have to repeat your story to different staff members.
Share information with organisations such as emergency services, safeguarding teams, or other appropriate agencies if we are worried about your safety, someone else's safety, or if the law requires us to do so.
How long we keep your information
We will keep your information securely and only for as long as we need to, following GDPR and our data protection and record-keeping policies.
Your choices
If there is anything you do not understand, please ask a member of staff before signing.
You can change your mind and withdraw your consent at any time by contacting us:
Email: info@herefordshire-mind.org.uk
Phone: 01432 271643
Address: Heffernan House, 130-132 Widemarsh Street, Hereford, HR4 9HN
Consent
I have read and understood this information and agree to Herefordshire Mind using my information as explained above.