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Complex Care Counselling

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DisabilityPlus Consent Form

Client Consent Form

Consent Statement

Consent

Who is giving consent?

Client Authorisation

If this is not possible due to disability please ask your carer to sign in the section below.
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Authorised Carer Authorisation

Only to be completed if the client cannot write a signature.
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DisabilityPlus Address

DisabilityPlus House, Pembroke Avenue, Hersham, Walton-on-Thames, KT12 4NT

Telephone:

Mobile: 07539 877357

Text: 07908148265

Email: disabilityplus.co.uk

DisabilityPlus Limited

Company Number 13411626

Registered 2022

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