Your privacy is important to us, and we would like to communicate with you in a manner that is in line with UK law on data protection. As a result of a change in UK law, we need your consent in order for us to contact you and hold information about you. Information we might hold about you includes the following:

• Personal details such as: name, address, telephone numbers, email, date of birth, signature, bank details, insurance details, referring GP or psychiatrist details.

This Psychology Practice collects the above type of information for the primary purpose of providing quality health care. By signing this form you are confirming that you are consenting to The Thinking Space Psychology Service Ltd holding and processing your personal data for the following purposes:

• Communicating with you via telephone, SMS, email or letter for the purposes of your therapy or invoicing for your therapy. We use client management software for this purpose: https://bac-pac.co.uk/security/
• Communicating with your referring GP or psychiatrist or insurer for the purposes of your therapy; assessment and treatment purposes.
• If we are concerned for your safety or identify any risk to yourself or others at any time during your treatment, we may contact your GP or other relevant services as we would have a duty of care to do so. Where possible the reasons for this would be discussed with you, but this may not always be possible.
• ank details for the purpose of invoicing you for your therapy. We use Sage and iZettle for recording and processing of financial transactions. Please view their privacy policies here: https://www.sage.com/company/privacy-notice-and-cookies and https://www.izettle.com/gb/privacy-policy

I understand that by signing this consent form, The Thinking Space Psychology Service Ltd is authorised on my behalf to use my personal information for the purposes specified and I am free to withdraw my consent at any time.