Consent Form

ALYVE WELLNESS
CONSENT TO SPECIFIC HEALTH QUESTIONS
 
 Informed Consent Form
I have read and understood the services that you supply and the reasons for the information requested about my health.

I have been given the opportunity to ask questions.

The services have been fully explained to me

I understand that you will only use this data in respect of the services supplied to me

I understand that no other person will have access to my personal data except in line with your companies GDPR policy which I have read, understood and agree too.

I consent to the collection of my personal data ( as detailed in the Alyve Wellness GDPR policy )

I explicitly consent to the collection of my personal health data as described in the GDPR document

I agree and give my consent to the above and sign and date this form

Signature

Date