Post
 Email
 Yes
 No
 Mild
 Moderate
 Severe
 Redness
 Weeping
 Swelling
 Heat
 Bleeding
 None of the above
 Yes
 No
 Yes
 No
 Yes
 No
 Diabetes
 Circulation problems (e.g. Raynauds)
 Immunosuppression (e.g. renal problems)
 Rheumatoid Arthritis
 Osteoarthritis
 Stroke
 Heart problems
 Physical Disabilities
 Registered Blind or partially sighted
 Special Educational Needs
 Congenital Problems
 Neurological issues (e.g. multiple sclerosis)
 Terminal Illness
 Dementia
 Self
 Relative
 Partner
 Other
 Agree
 
Consent of Treatment and Data Processing.
 
In line with the General Data Protection Regulations (GDPR) we need to inform you that the personal data supplied is held on our hosted patient record system (on the University’s UK server) and also in paper form (gathered patient notes) secured within the Podiatry Clinic it will also be on the Universitys email system. Your data will not be used for marketing purposes or given to a third party to use unlawfully. Your details will be used for teaching and medical purposes only and when applicable your details would be shared with other medical professionals with further consent.