Improving Stroke Services in Coventry and Warwickshire

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By collecting this information we will be able to provide evidence that we are reaching the people that need particular services and identifying when we are not. It can help us understand possible barriers to services and areas for improvement. All information is confidential and used for statistical purposes only.

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Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

I consent to my information being used for the purposes described above and wish to submit this online form to Improving Stroke Services in Coventry and Warwickshire • Westgate House, Market Street, Warwick, CV34 4DE.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.