Third-party consent

Hello – you have been sent a link to this page so that you can give us consent to contact or make a referral to a ‘third party’ organisation. The ‘third party’ organisation is named in the email you received that also contained the link to this page. Giving us consent means we can share your details with them so we can access and provide support for your current situation.

We need your consent to make any third-party contact or referral on your behalf, this will be to access and contact services external to Ben.

We are required by law, under the GDPR, to have your consent to do this. We will store your information safely and securely. Once this information is no longer needed we will destroy it. You can learn more about how we store and use personal data by reading our privacy statement.

Please complete the form below, read the consent statement and tick the box if you are happy to give your consent. Once you have submitted the form, your Case Manager will be notified.

Thank you!

Third-party consent form

Support services reference number

Third party organisation *

Your personal information consent: Ben collects sensitive personal information when you register with us for care, support and guidance. Our services can include contact with or referrals to third parties who provide a range of services or information. The company that provides these services may process and retain your information while supporting and delivering any services. If referred, you may ask them about the storage of this information at any time. As discussed, we require your consent to make any third party contact or referral on your behalf, to external services. By ticking the box below, you give your explicit consent to Ben to share your information with the third party named in the email with this link, and confirm that you have read and accepted the terms stated. We will always treat any personal data that you share with us with the utmost care and security. For further information please see our privacy policy: Privacy Policy

I give my consent for third party contact or referral to access support and/or information on my behalf, with external services/organisations named within the email and above. *

Third-party consent

Third-party consent form

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