HPFT IAPT Virtual Workshop Registration Form

The information you provide on this form will be used to record your attendance for this Improving Access to Psychological Therapies (IAPT) virtual workshop and to help us register you if you decide you would like further support from our service.

Your information will be stored confidentially on our secure database in the UK. No paper copy will be kept. Data may be used in anonymised format to demonstrate that we are working with the local community, which, in turn, enables us to continue providing free virtual workshops. For more details please refer to our ‘Fair Processing Notice’ and sharing information page.

If you have any concerns about how the Trust is handling your data please contact our data protection officer: hpft.dpo@nhs.net 

More information on your rights is available from the Information Commissioners Office: www.ico.org.uk

Gender

To be eligible for this service you will need to be registered with a GP in Hertfordshire or Essex.

We would be grateful if you could complete the two following questionnaires on how you are feeling. These questionnaires are optional and only take a few minutes to complete, but completing them helps us support you if you later refer to HPFT IAPT so that we can make sure you get the best treatment possible and monitor the progress you are making

Questions Not at all Several days More than half the days Nearly every day
* If you are experiencing thoughts that you would be better off dead or of hurting yourself in some way we would encourage you to follow our crisis link to find out more information about the support available to you immediately. Please click here for crisis link

There is always someone willing to help. Please don’t be afraid to ask if you need it.
Questions Not at all Several days More than half the days Nearly every day