I understand that I am completing a referral request. By completing this form, the patient consents to Morelife processing and storing their personal data for the purpose of your referral into the Medway & Swale Tier 3 children’s weight management service. The patient understands the information provided is essential to their referral and consents to this information being stored securely in accordance with the General Data Protection Regulations (GDPR – 2018). Personal data will only be used by Morelife and Healthcare partners and it will not be shared with any other third parties, we will keep data safe and will never share it without permission. The patient agrees to be contacted by letter, email, telephone, and SMS text message. Find more about Morelife's Privacy Policy at https://www.more-life.co.uk/privacy-policy