Keep in Touch Consent Form

We would love to keep in touch with you and share information and opportunities for involvement and hear your opinions on different issues. To do this we need your permission for us to contact you.

By providing your contact details you are consenting to Dudley Integrated Health and Care NHS (DIHC) adding you to the involvement database. We will contact you to share information which could include newsletters, useful information about health and wellbeing, invitations to take part in surveys, consultations and public meetings or focus groups.

The information you choose to provide will not be used for any other purpose and will not be shared with any other organisation. You can choose to unsubscribe from the database at any time by emailing Your information will be stored with us until stated otherwise.

Field marked * are mandatory


The information you provide will be stored securely.  It will be used lawfully, in accordance with the Data Protection Act (DPA) 2018 and the General Data Protection Regulation (GDPR) 2016.  The DPA and GDPR give you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.

If your details change could you please contact the email address to update this.