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Greenwich Peer Support

New Client Registration form


Welcome to SEL mind and to the Greenwich Peer Support service - Please register to find out more about the groups.  One of our team will be in contact with more information and to book in an enrolment session.

Please note that all fields with a red * are compulsory and you must complete them to be able to save and submit this form.

To access Peer Support you must be a Greenwich borough resident or have a GP registered in Greenwich.  The service is 18+ only.

We store and process personal data in line with the 1998 Data Protection Act and then 2018 General Data Protection Regulations.  For a full copy of our privacy policy please see https://www.selmind.org.uk/privacy/ or you can ask for a paper copy by calling 0208 853 2395.

 

Identity

Address

Contact

GP Details

Service Related Information

Consent - Demographics

Section to record consent to hold demographic information

Demographic

Thank you for completing this form.  By submitting this form you are giving us permisison to store this data to help us provide this service.

We will be in touch shortly