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MyLeightons Registration Form

MyLeightons Registration Form

It is fantastic that you wish to sign up to the MyLeightons Care Plan. Please complete this form and we will get you registered onto the system with 72 hours. An email confirming your account set up and direct debit information will be sent once set up is complete.
23Questions
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    • Matt Galloway
    • Ian McIntyre
    • Tyler Dunbar
    • Abbie Northfield
    • Rebecca Maull
    • Claire Greenwood
    • Vicky Hurst
    • Reesma Ali
    • Chloe Bishop
    • Kasha Corneby
    • Karen Clarke
    • Mariia Chopyk
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    • Isabel Johnson-Glew
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    Please start to type your address
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    • Afghanistan
    • Albania
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    • Anguilla
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    • Patient Contact Centre
    • Email Communication
    • Letter Communication
    • Website
    • Branch
    • Other
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  • 12
    Selecting 'Yes' will present our NHS Price Plans
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  • 13
    Selecting 'Yes' will suggest our MyLeightons Contact Lens Plan
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  • 14
    Selecting 'Yes' will present our MyLeightons Family Plan
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  • 15

    MLIND

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The MyLeightons Individual Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £14.00 and will be taken out on your nominated payment date.
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
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  • 16

    MLINDNHS

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The NHS MyLeightons Individual Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £12.00 and will be taken out on your nominated payment date.
    • Please note that the care plan does not cover your standard eye examination which will normally be covered by the NHS
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • If you join an NHS MyLeightons Care plan and are not entitled to an NHS contriduction towards your eye examination you will be transferred onto our private plan (£14/month) when you attend for your appointment.
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
    Enter
  • 17

    MLFAM

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The MyLeightons Family Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £24.00 and will be taken out on your nominated payment date.
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • Full Terms & Conditions will be emailled to you following sign up or can be viewed here
    Press
    Enter
  • 18

    MLFAMNHS

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The NHS MyLeightons Family Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £20.00 and will be taken out on your nominated payment date.
    • Please note that the care plan does not cover your standard eye examination which will normally be covered by the NHS
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • If you join an NHS MyLeightons Care plan and are not entitled to an NHS contriduction towards your eye examination you will be transferred onto our private plan (£24/month) when you attend for your appointment.
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
    Enter
  • 19

    MLCL

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The MyLeightons Contact Lens Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £16.00 and will be taken out on your nominated payment date.
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
    Enter
  • 20

    MLCLNHS

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The NHS MyLeightons Contact Lens Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £14.00 and will be taken out on your nominated payment date.
    • Please note that the care plan does not cover your standard eye examination which will normally be covered by the NHS
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • If you join an NHS MyLeightons Care plan and are not entitled to an NHS contriduction towards your eye examination you will be transferred onto our private plan (£16/month) when you attend for your appointment.
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
    Enter
  • 21

    MLCLKID

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The Child MyLeightons Contact Lens Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £12.00 and will be taken out on your nominated payment date.
    • Please note that the care plan does not cover your standard eye examination which will normally be covered by the NHS
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • If you join an NHS MyLeightons Care plan and are not entitled to an NHS contriduction towards your eye examination you will be transferred onto our private plan (£16/month) when you attend for your appointment.
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
    Press
    Enter
  • 22

    MLKID

    Our Recommended MyLeightons Care Plan based on your answers provided is: (If you would like to select a different plan please go back and alter your answers)

    The MyLeightons Child Care Plan

    Please read the following information and click 'NEXT' to confirm that you agree:

    • The monthly fee for your My Leightons Care Plan is £3.00 and will be taken out on your nominated payment date.
    • There is a minimum term for membership of 12 months. If you cancel during this time you will be required to pay the remaining term or fees for services used (whichever is smaller)
    • You can discuss your plan at any time by emailing patientsupport@leightons.co.uk or calling 0800 40 20 20
    • By continuing to sign up to the the MyLeightons Care Plan your information will continue to be shared with ADARO Optics Ltd who are a data processor to fulfil your ongoing orders and to provide payment services via direct debit.
    • We are committed to the highest level of data privacy standards and patient confidentiality. Your data will be collected and processed in accordance with the Privacy Policies of both Leightons Opticians & Hearing Care and ADARO Optics Ltd. Both of these policies can be accessed below, and links will be emailed to you as part of your welcome email.
      • leightons.co.uk/privacy-cookies
      • adarodirect.com/policy/DataProtection.aspx
    • Full Terms & Conditions will be emailed to you following sign up or can be viewed here
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