Consent to Medical Records Access

BACK TO MAIN INDEX

There may be circumstances that you wish for another individual to gain access to your medical record and allow that named person to speak on your behalf to a member of our team about your medical requirements. 

If you require this to be arranged we request that you complete the form below and we will add the contact details of the named individual to your medical record.

Consent to Medical Records Access Form

Changing Your Mind

If you have a change to your named individual or you wish to remove the person from your medical record, we will require you to complete the form below: 

Remove or Update Consent Form