Community Partners Agreement About Your OrganisationYour company or organisation(Required) Please enter your company or organisation nameContact(Required) First Last Please provide a contact for your organisation with who the UCO Clinic can contact if needed.Email(Required) Please provide a contact email for your company or organisation. Where you have a website, this should be using the same domain.Phone(Required)Please provide a contact number which can be used if needed.AgreementPlease provide consent to the agreement below. Please note that when attending an appointment, the employee of the organisation or company will need to prove their eligibility. Please ensure you select how they will do this, and inform them that this is required. Select identification to be used(Required) Company ID card Company business card Other Community Partners Newsletter Would you like to receive our Community Partners newsletter?This will be sent via email to the email address provided above and will include UCO Clinic news and details of any additional special offers. Your details will be stored securely by Mailchimp, our email software, and will not be passed to third parties or used for any other purpose than described above. You can unsubscribe at any time.Community Partnership Agreement(Required) I agree to the Community Partnership Agreement1. The University School of Osteopathy (UCO) Clinic will: a) Offer all employees of your organisation a discount on osteopathic appointments at the UCO Clinic general and specialist clinics (please note this excludes appointments at the Associate and Demonstration Clinics). b) Provide full details of all of the other clinics and fees available at the clinic to ensure that your employees are able to access the full range of options for osteopathic care at the UCO Clinic 2. Your company/organisation name will: a) Inform their employees of the services provided by the UCO Clinic b) Promote the UCO Clinic and the Community Partnership discounted rate to employees. c) Be responsible for making employees aware of identification requirements so that the UCO Clinic reception team are able to identify them as eligible for the community partnership rate 3. Identification requirements: a) All individuals will be required to present their relevant identification at every appointment to b) qualify for the community partnership fee b) The standard appointment fee will be charged if the appropriate identification is not shown c) No refund will be provided for appointments already attended if ID is produced at a later date, even if it covers the date of the previous appointment d) Appointments can be booked via 020 7089 5360 or clinicappointments@uco.ac.uk 15716
