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Privacy Statement and Consent Form

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    Privacy statement

    Please tick the boxes below to give me permission to use the information you have supplied in the following ways:

    I use your personal information to analyse the conditions for which you have consulted me and to prescribe remedies and other therapies.

    I will communicate with you by email, other digital methods, by telephone and by post.

    I understand that I can, at any time, request that my personal information not be used for these purposes by contacting:

    Francis Treuherz MA RSHom FSHom
    2 Exeter Road, side entrance, London NW24SP


    While I remain a patient of Francis Treuherz (and for seven years thereafter), I consent to my personal information being used for the purposes detailed above.

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