Please complete this form to ensure that your health data is shared appropriately for direct patient care. The boxes on this form relate to two important areas -
Box A - relates to the Summary Care Record (SCR) with the ability for additional information.
Box B - relates to data sharing between the GP Surgery and other agencies involved in direct patient care, e.g Health Visitors, GP+, School Nurses and Physiotherapists.
You can download a copy of the form below or alternatively ask for a copy when you are next in the Surgery.
Who Can See My Health Record