TESTIMONIAL CONSENT FORM

The United Kingdom Sepsis Trust produces a range of communications resources to demonstrate the work we do and raise awareness of sepsis. Allowing us to share your experiences of working with us is very important to continue to raise awareness.

By completing this form, you give us permission to use your testimonial in our communications, and as part of our clinical educational training to healthcare professionals.

You can state below if you are happy for us to use your real name, or if you prefer to stay anonymous. The consent form is valid for 3 years, if we want to continue to use your testimonial after this time, we will contact you again. You can always contact us if you change your mind in the meantime, and we will stop using your story.

Thank you for your help.

Testimonial Consent Form

Maximum file size: 125.83MB

What your testimonial can be used for:
Can I remain anonymous?
You can choose to have your real name published with your story or remain anonymous (where we will use a false name).

How you would like to keep in touch?

What does a ‘Yes’ mean?

A ‘Yes’ enables the UK Sepsis Trust and Sepsis Enterprises to contact you by post, phone, email or SMS. You can select yes for all of the options or whichever suits you best. It’s quick and easy to change your mind and withdraw your consent at any time - just fill out our short form here or opt out at the bottom of one of our emails.

Your Privacy

The UK Sepsis Trust are committed to protecting and respecting your privacy. All personal data will be held in accordance with the principles and requirements of data protection and any other relevant legislation. For full details see our Privacy Policy.

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