Patient Data & Consent

Patient Data & Consent

Upon submission of your patient data and consent, the information you provide below is encrypted and stored on secure servers in full accordance with Dr Naomi Whitelaw’s (trading as Equilibrium) Privacy, Confidentiality, Information Governance and Data Protection Policies. Copies of these can be provided upon request.

We will not contact your doctor without your consent unless in the event of a medical emergency.
Please note that it is your responsibility to check the terms and requirements of your policy, as the treatment we offer may not be covered.
THIS IS NOT MARKETING CONTACT BUT PURELY TREATMENT-RELATED COMMUNICATION.
The pharmacy will normally take a telephone contact number and email address from you when you call for your medication.
This relates to third parties whose treatment you have agreed to. Referrals to third parties are not made without your prior agreement, which is a decision reached between you and the doctor.
Please email a copy to support@equilibrium-clinic.co.uk ahead of your appointment.
We always send appointment reminders by email, as often other information is included. Please indicate if this is NOT a reliable way to remind you.
Your location is required as part of our safeguarding policy.
You need only complete this if you will attend your video appointment from your work address. Your location is required as part of our safeguarding policy.
Emergency contact
Please complete the box below if you intend to have a chaperone some or all of the time.
Please let us have your chaperone's name and relationship to you, plus any other information you feel pertinent.
Our marketing activity is minimal and will only relate to the introduction of new services, products and/or clinic locations etc. We do not share information with any third parties without prior consent.