We understand that some people will be reluctant to provide too much personal information to a company they have not yet got to know.
It is essential that we talk to you if we going to be able to help you. We therefore do not insist on you entering personal medical information into our form.
We can use this information to contact you and explain how we can help, as well as what your options might be. You can, if you wish, answer any other questions you feel appropriate.