This form is used for the purpose of obtaining consent to share Medical Record and to Access / Exchange Information with commissioners of the service (e.g. CCG’s, Local Authorities), Social Care and Education Organisations and to obtain consent on the Communication method used with Service User / Parent or Guardian.
Definitions: “Havens Hospices” defines Little Havens and Fair Havens.
If you have any questions, concerns or need support completing online forms and bookings please call the Care Team on 01702 552 200.