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Sign up to the Citizens’ Panel

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As a member of the Citizens’ Panel you will be kept up to date about the work Virgin Care is doing  and if you want to, you can also take part in surveys or become more involved.

This could be by sharing your personal knowledge and experience of services, maybe by taking part in workshops and other projects which will happen over the coming months and years, and you can also help us to shape the way services are run in the area. But if you don’t want to do any of these things apart from being kept informed, that’s fine too.

 










Are you a carer? Yes
 No










Will you need any help to get involved? Yes
 No

If so, what help will you need?







Do you need Citizens’ Panel information in easy read?

 Yes
 No


The information that you provide on this form will be used by the Virgin Care Group to contact and update you about local health and care services, and related activities and to inform you of the ways in which you can get involved in shaping services. Your details will only be used for this purpose and will not be shared with anyone else. The information you supply will be held securely and in accordance with Data Protection Law. For more information on what we collect, why and how to opt out or complain please view our Citizens’ Panel Privacy Policy. You can opt out of the Citizens’ Panel at any time by contacting us by post, please write to Citizens’ Panel, The Heath Business and Technical Park, Runcorn ,Cheshire, WA7 4QX

or by emailing us at citizenspanel@virgincare.co.uk. We will contact you for consent if there are any changes to the way in which your information is used. Select ‘I understand’ below to confirm your acceptance.

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