Dementia Project Consent to contact form

Thank you for signing up to take part in the Healthwatch Suffolk Dementia Project.   

We will only use your personal information to contact you with details about the Healthwatch Suffolk Dementia Project, and to arrange an informal interview about your experiences. 

Your contact details will be stored in a secure folder on the Healthwatch Suffolk officer server, or Microsoft Sharepoint storage. Your information will only be accessible by the Healthwatch Suffolk research team. 

We will keep your information until we complete the final evaluation report in early 2023, or until you ask us to remove your information from our records.

If you have any questions about Healthwatch Suffolk, or how we use your information, please contact or call freephone 0800 448 8234.

Our privacy policy can be found on the Healthwatch Suffolk website, or on request.

1. I consent to Healthwatch Suffolk storing my details on their database for the purposes of the Healthwatch Suffolk Dementia Project: *