Health Champions in South Warwickshire

Helping to shape and develop health services in South Warwickshire. 

Being a Health Champion enables you to get involved in the development of health services at a level of participation that suits you. 

If you are interested in becoming a Health Champion or have already signed up at one of our events, please fill in the form below to help us get to know your areas of interest better so you can help your local NHS services in the future.

Your information will be held on a secure database and you will receive regular updates and surveys from local NHS organisations in Coventry and Warwickshire. We will not share your data with anyone without your explicit consent. Your data will be kept in accordance with the NHS confidentiality code of practice.

About me
(We would like to save NHS resources by contacting people by email rather than post wherever possible).
About everyone
(We would like to save NHS resources by contacting people by email rather than post wherever possible).
If so, please give us the name of your surgery.
If so, please give us the name of your surgery.

Privacy Protection

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.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

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.


© NHS South Warwickshire Clinical Commissioning Group
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