Opt-out form

Please use this web form to let us know you wish to opt out of hearing about research opportunities.

By using this form, you will be sending personal information to us through Survey Monkey (privacy policy). We will use your data to update our records and then remove your information from the sever.

Alternatively you can also opt out by phone or email on 02921 824983 or participate.cav@cardiff.ac.uk

Question Title

* Name

Question Title

* Date of birth

Please enter your date of birth

Date

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* Please read and accept each of the following statements to opt-out.

I wish to opt-out of being notified about mental health research opportunities that are happening in Cardiff and Vale UHB Mental Health secondary care services.

I am aware my decision will be updated on my clinical record, however may be reviewed on a yearly basis with my clinical team.

You can change your decision at any time and re-join Participate. Just let us know by contacting us on 02921 824983 or emailing participate.CAV@wales.nhs.uk

To confirm that you would like to opt-out, please click 'complete' below.