Permission to share information

Permission to share

In a EMERGENCY please contact your own GP. The Cumbria Health On Call team (CHOC) are also available out of hours on 111. The Samaritans are available 24 hours a day on 116 123.

SAFA is GDPR compliant. Once the below form is submitted to us, the forms data is encrypted and automatically password protected. Only a team member from SAFA can access the data provided.

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    I, give consent for information to be shared between SAFA and from the list below, I have specified who to contact when it is deemed in my best interest to do so.

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    * by submitting this form you are consenting to the permission to share information agreement outlined above.

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