Voices in Exile Consent Form Client confidentiality & consent NameAddressPost CodeDate of BirthPart A: storing and processing dataI agree *DatePart B: obtaining and disclosing dataNHS trusts, doctor, health practitionersHome OfficeGovernment agencies (e.g. Department for Work and Pensions, Job Centre)HMRCLocal authorities and social servicesAccommodation providers and housing trustsVoluntary sector organisations/charities/refugesSolicitors/immigration advisers/barristersSchool and education providersPolice/ACRO criminal records officeLocal Member of ParliamentOtherData disclosure *I understand that ViE will only obtain and disclose my data if it is in my best interests and will keep me informed of disclosures that are made on my behalf. I understand that I can withdraw this consent at any time by notifying ViE.DateSend Message