Consent Forms

GIVING CONSENT FOR A NAMED INDIVIDUAL TO HAVE ACCESS TO YOUR MEDICAL RECORD

As a patient, you can give authorisation for another individual to have access to your medical record in certain circumstances.  In order for us to record this correctly on your record, you will need to give your consent for us to do this.  Please use the form below highlighting the level of authorisation you wish to give and return it to the surgery.

Consent Form

If you need to remove or update the details of the individual you have previously given authorisation to, you can use the form below to amend your consent.

Consent Form – to update