Complete the following referral form to submit a request for counselling at Holywood Family Trust
HFT may use client information to carry out our obligations arising from any contracts entered into by the client and us. We promise to keep your details safe and secure. We will not share your information with third parties for marketing purposes. We may contact you to let you know about other services, events or for evaluation purposes.
The circumstances when details can be shared include:
When a counsellor has good grounds for believing that a person may cause serious harm to themselves or others.When we are instructed by a court to disclose information.When a person discloses criminal activity, or knowledge of criminal activity, this includes statutory obligations.When it is necessary to uphold child protection laws.When a funder requires geographical, statistical or clinical area information - GDPR guidlines will be adhered to.Your responsibilityWe would ask that you keep us informed (by email, telephone, or in writing) of any changes in your personal data so that we may have our records up to date at all times. If you wish to withdraw your consent please contact us (by email, telephone, or in writing). You have the ‘right to be forgotten’, which means you can request the deletion or removal of personal data where there is no compelling reason for its continued processing.
Tick your preferred methods of consent from the list below. Please TICK ALL that apply (a minimum of one must be selected)