Sue Gowers - Downloadable Forms

Parental Consent to Assessment and Treatment
Consent for Sue Gowers to carry out an assessment and any subsequent treatment of your child.
sue_gowers_parental_consent_to_treatment[...]
Adobe Acrobat document [65.3 KB]
Professional Liaison Consent
Consent for Sue Gowers to contact specified professionals in connection with the assessment and treatment of your child.
sue_gowers_professional_liaison_consent_[...]
Adobe Acrobat document [69.0 KB]
Data Protection Policy
Acceptance of Sue Gowers' data protection policy in connection with the assessment and treatment of your child.
sue_gowers_data_protection_policy_10-201[...]
Adobe Acrobat document [70.2 KB]

 

Terms and Conditons/Fees

 

The document defining Terms & Conditions and Fees forms Appendix A of each of the downloadable forms listed above. In signing any of the forms you are also agreeing to the Terms & Conditions

 

Please download each of these forms, then print and sign two copies; one to be returned to Sue Gowers and the other to be retained for your records.

 

Forms are in PDF format. If you don’t have Adobe Reader on your computer, a free copy can be downloaded from www.adobe.com.

 

A form can be downloaded by clicking on its hyperlink with the right mouse button, then selecting from the popup menu “Save Target As” (Internet Explorer/Edge) or “Save Link As” (Firefox/Chrome).