Communication Support Request Form

If you are a patient, service user, carer or parent with a disability, impairment or sensory loss, you can use this form to request that we communicate with you in a different way.

Find out more about the Accessible Information Standard.

We take your privacy, and the security and confidentiality of healthcare data, extremely seriously. This website has been built with security and confidentiality in mind.

  • Your IP address is never logged in our database.
  • Any person identifiable data you submit via this form is stored on a secure database server in England, which only the relevant authorised healthcare professionals can access.
  • All email notifications containing person identifiable data are sent securely through NHSmail.
  • Our processes for collecting data via this website have been approved by the Hull University Teaching Hospitals NHS Trust Information Governance Committee.
  • We are fully compliant with GDPR and the Data Protection Act 2018.
  • If you have any questions or concerns about this form, please contact the Communications Team.
  • View our Accessibility Statement.
  • Read our Privacy Policy.