Access My Medical Records

You have the right to see the information our practice holds about you, including your medical records. To request your complete or partial records (e.g. specific test results), please fill in the form below.

Once we receive your submission, we will usually send you your records within one month. We may also ask you to provide us with valid photo ID (e.g. passport, UK driving license, biometric residence permit) to ensure we’re sharing your information securely and with the right person.

Please note that if you have been nominated to request medical records on behalf of someone else, both you and the patient whose medical records are being requested must be present when completing this form. You will also need to fill in the “Authorisation of Patient if Request Made by Third Party” section, which will appear when you tick the relevant consent box at the end of the form. If this section is not completed, we will not be able to process your request.

If you have any questions, please contact our practice and speak to a member of staff.

Subject Access Request Form
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Applicant Details

Please use format day/month/year e.g. 12/05/1979
Your records will be sent to this email address.
I am requesting

The Medical Records of another Adult

Please include postcode
Please use format day/month/year e.g. 12/05/1979

The Medical Records of a Child

Please include postcode
Please use format day/month/year e.g. 12/05/1979

Type of Request

I wish to request
Copies of medical records will take up to 30 days to process.

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