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Data protection
We take personal privacy seriously. To find out more about how we use and store your personal information and your rights in relation to this information please see our
Privacy Notice
.
Subject Access Request Form
You have the right to make a request to see if The Dermatology Referral Service Ltd holds personal data about you. Please complete the form below or download a
Word document
which you can complete and send to us.
Our Data Protection Manager will acknowledge receipt of your request and be in touch to confirm your identity, you will need to provide a copy of a current passport or driving licence. We will process your request as quickly as possible within 30 calendar days.
If you wish to make a request on behalf of someone else, you will need to provide their written authorisation. Please contact our Data Protection Manager on 01414274257 for advice on the best way to do this.
*
Indicates required field
Name
*
First
Last
Current Address
*
Mobile telephone number
*
Home telephone number
*
Email address
*
Date of Birth
*
Details of the Data Requested
Please provide details of the data you are requesting and why you think we hold personal data on you, providing as much information as possible. For example, you may have registered as a client and used our services in the past to care for your pet.
Details Requested
*
Please tick box to confirm you are the data subject and the personal data you are requesting is about you
*
Tick
Submit