Use this form for any subject access request, this is to gain information from your clinical records.
This request will be passed to our admin team and can take up to 30 days to complete. Depending on the nature of the request, we may require a further extension of 30 days.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- information you require from your medical record
- you may be contacted regarding this request
You can also phone us on 01953 881247.