Enquiry Form for the Life FertilityCare
Family Planning Programme
Please
complete:
SECTION 1 for Natural
Family Planning
Where
information is required - marked with * - you
will need to make an entry before
you can send the form (for
Natural Family Planning enquiries this may mean entering 'None'
or 'No')
In taking the time to complete and send the Family Planning enqury
form you are providing us with the information we need to be able
to advise you on whether or not you would benefit from the Life
FertilityCare programme. Any medical information you give
us regarding your health and your personal details will be used
for assessment purposes only and kept strictly confidential. Life
FertilityCare conforms to the UK Data protection Act 1998 and
the healthcare Commission privacy and confidentiality policies.
NOTE: Treatment can generally only accessed by residents
of the United Kingdom - if you reside outside the UK you can find
out more about body-friendly treatment from the following websites:
for United States of America visit naprotechnology.com;
for Australia visit fertilitycare.com.au;
for Ireland visit fertilitycare.ie
