Consent form: Sharing your story

  • Thank you for sharing your story

  • By allowing us to share your story and photos on social media, our website and in our marketing materials, you are raising awareness of the amazing work that happens every day at North Bristol NHS Trust.

    We will ensure that all photography, videos and quotes that we use are:
    • positive
    • maintain your dignity and respect
    We use photographs, videos and quotes only when the people concerned are happy about it. We want to ensure that all those involved are willing to be involved and understand how these will be used.

    Please complete this form to confirm you are happy for us to use your story to raise money for our hospitals, staff, patients and research.

    If you have any questions, please email Rebecca Davy at

  • DD slash MM slash YYYY
  • Your choice

    We will only ever use your story and photos with your permission and in a way that has been fully agreed with you. Please contact us if you have any queries.
  • Keeping in contact with you

  • We'd like to contact you in the future about the impact of your generous support. If you'd prefer not to hear from us in the future, you can opt-out using the tick boxes below.
  • We'd like to email you about other ways you can help support the patients and staff at your local hospitals. Please tick the box below to hear from us via email.

Thank you for your support – it makes a huge difference to our patients, their families and our staff.

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