Client Registration
If you are new to Shen Therapy, to enable Beth to treat you in a safe and sensitive manner she requires some personal details. Please either complete the online form below or download the PDF or Word document and email back to Beth at beth@shen-therapy.co.uk
NEW CLIENT REGISTRATION FORM
By completing the following health and mobility information you are allowing Beth to provide the best treatment advice and is regarded as strictly confidential.
Where you do not grant consent, we will not be able to use your personal data for marketing purposes (so for example, we may not be able to let you know about open days or special offers). We will still be able to use your personal data for: yours or our legitimate interests in connection with the provision of health care services to you; or if necessary, in compliance with a legal obligation which our practice/clinic is subject to. These lawful uses of your personal data not requiring your consent are set out in our Privacy Notice.
You can withdraw or change your consent at any time by contacting Shen Therapy. Please note that all processing of your personal data for marketing purposes will cease once you have withdrawn consent, but this will not affect any personal data that has already been processed prior to this point. All other lawful processing of your personal data because: it is in yours or our legitimate interests in connection with the provision of health care services to you; or it is necessary in compliance with a legal obligation which our practice/clinic is subject to – may continue.
Get in Touch
- 07725 325549
- beth@shen-therapy.co.uk
- Shen Therapy Room, High Street, Culworth OX17 2AZ
If you are an existing Shen Therapy client you can book your appointment using my automated system. New customers please contact me prior to booking to discuss the treatment you require.