GDPR | Dental Wales

NHS Wales Dental Referral Management System

Your Health Board

Dental Referrals

GDPR DPA Form

Get your DPA below

Data Sharing Agreement PROVIDER ONLY

Step 1 of 4

What kind of data controller are you?*
- We are a referring dental practice
- We are a provider of services on referral in primary care
- We are a provider of services on referral in secondary care
This makes sure we send you the right version.

Your Name*
Position held*
Tell us who you are?
Email address to receive signed copy of GDPA*

Practice Name*
Practice Address
Street Address Address Line 2 City County Postcode

Signature*
Sign here and we will apply this signature to the Data Processing Agreement. You can view a copy of the DPA using the links on the left hand side of the page if you wish.

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