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Individual Membership Form

Thank you for taking the time to register your interest in Healthwatch Stockton-on-Tees. By completing this form you are asking us to keep you informed about our activities. This includes receiving the Healthwatch e-bulletin.We hope that you will choose to get more involved in things which are of particular interest to you but the extent of your involvement is entirely up to you.

From time to time PCP will use photographs and film footage to record and promote its projects and services, on posters, leaflets, reports, website, social media and in press releases. I am happy to appear in promotional materials
The Disability Discrimination Act (DDA) defines a disabled person as "someone who has a physical or mental impairment that has a substantial and long-term adverse effect on their ability to carry out normal day to day activities."
Have you or a close member of your family ever served in the UK Armed Forces?
Confidentiality disclaimer:PCP will treat the information you give confidentially, under the principles of The Data Protection Act 1998 and The Freedom of Information Act 2000. We will share information with our external funders and evaluators only where necessary for monitoring and evaluation purposes. We operate an 'open file' policy. Should you wish to view the personal information the organisation holds, please speak to a member of staff.