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The Seamless Blend 
Client Consent Form

Please take a moment to fill in this Client Consent Form  before your first individual or couples session, or before attending your first workshop.  By filling out this document you consent to The Seamless Blend safely and securely storing basic personal information for service delivery purposes, and agreeing to sharing information with our staff who maintain professional confidentiality at all times.  No personal or identifying information will be shared with any third party.  Mutually agreed upon referrals  to another service, agency or organisation may result in personal information being shared AFTER you have agreed to the service and given consent.   Collective and individual deidentified raw data and case studies may be used for business purposes.   This document is supported by The Seamless Blend Privacy Policy and The Seamless Blend Terms and Conditions. For more information please view these policies which can be found on The Seamless Blend website website www.theseamlessblend.com.au

Which TSB Service are you registering for?
On occasion, during workshops, The Seamless Blend take photos, or invite participants to take part in radio interviews or podcasts. We alway communicate this very clearly so if this was to occur you will be aware. Do you consent to being photographed for promotional material?

Thank you for submitting!

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