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.

As part of the requesting process, we will 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. Once we receive your submission, we will usually send you your records within one month.

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

    Information of requester

    Name
    Name
    First name
    Last name
    This is the email address we will use to electronically transmit your records. Please ensure this is an inbox that you are happy to receive the medical records in.
    I am requesting…

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