Changes in preferences/opt-out form

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Changes in preferences/opt-out form

The confidentiality of your personal information is of paramount concern to us. KPIN will treat your details in confidence and in accordance with current data protection laws. For more information on how we use and store your data, see our Privacy Policy

If you have joined KPIN as either a patient/carer or professional and now wish to change your preferences or leave, please fill in the form below.

    * indicates a compulsory field

    1. Name*

    2. Email *

    3. I joined KPIN as a: *

    4. I would like to receive information on: (Select all that apply)
    KPIN training/eventsJoining a committee/local kidney patient associationPeer supportProduct design feedbackQuality improvementResearch projectsService delivery/policy reviewVolunteering for a renal unitOther (please describe)

    5. Opt-out preferences: (Select all that apply)
    I no longer want to be a member of KPIN - please stop all communicationI no longer want to be a member of KPIN - please remove all my dataI no longer want to receive the newsletterI no longer want my photos/media to be used - please remove and delete

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