top of page

One off Payment

We are now able to offer an online payment service for our subsidised Fast Track and Counselling services.

Note: Those with compensation or able to self fund will be charged an hourly fee and will need to pay via Invoicing

 

*Please bring your proof of payment with you on your 1st appointment.

**In order to meet new Data Protection legislation, where we require personal data, we need you to ‘opt in’ by completing and returning the details below.

We need this information to be able to proceed with your application for  service payment.

Any information you give us at this stage, will only be used by Headway Birmingham & for the purpose stated.

This information will be used and destroyed in line with Data Protection guidelines.

As always, we promise not to bombard you with excessive mailshots and you must let us know if you wish to opt out.

So, if you’d like to continue to hear about our news, campaigns, and fundraising activities, all you have to do is tick YES below.

Headway B&S Ltd is an independently registered charity (No. 1008798) and a Company limited by guarantee (No 2686647).

Our registered office is at Leighton House, 20 Chapel Rise, Birmingham Great Park, Rubery, Birmingham.  B45 9SN

bottom of page