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I withdraw my consent for The ADHD and Autism Clinic and its staff to share information about my care with the following individual(s) or organisation(s)
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This form collects your name and email and the data contained in other fields on the form so that we can later communicate with you appropriately. Please check our PRIVACY POLICY for all the information on how we store, protect, and manage your submitted data. You must tick the consent box below before the form can be submitted.
https://adhdandautismclinic.co.uk/privacy/
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Home
The Clinic
ECG Monitoring
Services
Private ADHD Assessments
ADHD diagnosis information
ADHD Medication and Titration
Private Autism Assessments
Autism information
Fees & Payment
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Blog
Contact
Make an Enquiry
