Your story, your consent

Your name

Email

Are you happy for your name to appear with your story?

Please confirm you are happy for your story, or parts of it, to be shared in the following ways (mark all that apply):

Choose all that apply

If you have submitted photos to be used with your story, or had some taken by the PHA UK, please confirm you are happy for these to be used in the ways identified aboveOptional

If you have been filmed by the PHA UK, or submitted your own footage, please confirm you are happy for these to be used in the ways identified aboveOptional

If your photos or footage show a child under 16, please confirm your consent on their behalf belowOptional

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Please add comments if you wishOptional

SignatureOptional

Draw your signature with your mouse or finger. If you'd rather not, typing your name below is enough.

Type your full name

Typing your name and pressing Submit is your signature.

By sending this form you're happy for PHA UK to keep these answers as its record of your consent.

How PHA UK handles your data

How we use your information

How we will use your information

To record the permissions people give PHA UK to use their name, story, photographs and film across the charity's publications, website, media work, events and social channels, and to be able to show that permission later.

Data controller: Pulmonary Hypertension Association UK
Lawful basis: Consent (Article 6(1)(a)): the person chooses what PHA UK may use and where, and can withdraw at any time.
Special-category information: Explicit consent (Article 9(2)(a)): a personal story about pulmonary hypertension is health data. The typed signature and this submission are the explicit consent.
Retention: Kept for as long as the material is in use and for six years after its last publication, or until consent is withdrawn.