In order to comply with guidance on confidentiality, young people aged 11-15 years old must give consent for adults with parental responsibility to access their medical records. Please complete the form below if you would like an adult to have access to all your medical records including results and medication. This permission lasts for one year and another form must be completed annually. You can withdraw consent at any time by contacting the surgery on by telephone 01245 221777, by email email@example.com, or by writing to the admin department at your usual branch.
Last Updated: 22/09/2020