TEaM Self-Referral Form

Your contact details
Data protection

I give my consent for TEaM to retain this information and understand that it will be stored confidentially and handled in full compliance with the Data Protection Act 1998 and Coventry & Warwickshire Mind’s policy on confidentiality. I understand the importance of keeping the TEaM staff updated on significant changes in my health or circumstances. I understand that where issues become apparent the TEaM staff may request further information/advice from other persons involved in my care.