Scan consent form

This consent notice should be read with our Data Privacy Notice and Terms and Conditions.

By signing this form, you are confirming that you have read our Data Privacy Notice and that you are consenting to The Liver Clinic holding and processing your personal data for the specified purposes below.

Client name

Client address

Client email

Client phone

Why we want to collect your personal data

We will collect your personal data to ensure scanning results are accurate and to advise and inform on lifestyle discussions. Data collected will be: name, date of birth, sex or gender, address, appointments, height, weight, discussions from appointments such as medication and medical history.

What we want to do with your personal data

We will use your personal data to discuss and advise pre and post liver scan to provide a personalised and tailored lifestyle plan delivered to you.

We would like to keep you informed about our products and services. If you agree to this, please tick the box below:

I would like to be informed about The Liver Clinic’s products and special offers.

Please tick one (or more) boxes below to tell us the ways you would prefer to hear from us:

I’d like to receive communications by email. I’d like to receive communications by mobile (text message) I don’t want to receive communications

What if you don’t provide consent?

Your consent is a precondition of signing up to our services as this is necessary for the functioning of the service provided.

You can withdraw your consent at any time.

If you do grant consent, please note you can withdraw your consent to all or any one of the above purposes at any time by contacting info@theliverclinic.com. We’ll act on your withdrawal notice as soon as we can.

Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.

Scan consent form

This consent notice should be read with our Data Privacy Notice and Terms and Conditions.

Why we want to collect your personal data

What we want to do with your personal data

What if you don’t provide consent?

You can withdraw your consent at any time.

Sign up to our newsletter

Quick Links

Contact

Scan consent form

This consent notice should be read with our Data Privacy Notice and Terms and Conditions.

Why we want to collect your personal data

What we want to do with your personal data

What if you don’t provide consent?

You can withdraw your consent at any time.

Sign up to our newsletter

Quick Links

Contact

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