Subject Access Request (SAR)

You will appreciate that health data relating to any individual is highly confidential and the Practice must ensure that it releases such data only to the person to whom it relates, or to a person authorised to act on his or her behalf. If you require to see any health data, please complete this online request form as fully and accurately as possible to enable us to locate the exact information you require.

The General Data Protection Regulations (GDPR) gives you the statutory right of access to any information, manual (paper) or computerised.  You may wish to authorise someone else to make your application on your behalf and if you have parental responsibilities, you may make an application to see your child’s notes.

You do not have to give a reason for applying for access to your General Practice records. If you do not need access to your entire records, it would be helpful if you would inform us of the periods and area of your health records that you require, along with details which you feel may have relevance (e.g. clinic type, location, dates).

Timescale

The Practice will deal with your request as quickly as possible. The information should be available to you within 28 days of receipt of your accurately completed form and confirmation of consent. Under certain circumstances, this period can be extended to 3 months, but we will keep you informed of the progress of your request during this extended period.

Fees

We will not make a charge for the first request for access to your medical records. We may, however, charge for subsequent requests or if we deem that the volume of information requested is excessive. 

Applications on behalf of another patient

If you are completing this application on behalf of another person, the Practice will require their authorisation before we can release the data to you. The person whose information is being requested should sign the relevant section within the online form.

If the patient is a child (i.e. under 16 years of age) the application may be made by a parent or guardian on their behalf. If the young person is 13 or over, we will check they are happy for their personal data to be shared with their parent or carer.

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Preferred Request Multiple

Name *

First

Last

Multiple Choice *

• My own medical records
• The medical records of another adult
• The medical records of a child

Email *

Preferred Phone number *

Type of Request *

• View Records
• Copy of Parts of Medical Records
• Partial Medical Records
• Full Medical Records
• Other (Please Specify)

Consent (Tick which applies) *

• I am the Patient
• I have been asked to act by the patient as detailed and who has signed the authorisation section
• I am the parent/guardian of a patient who is between the age of 12 years old and 16 years old who has signed the authorisation section
• I am the parent/guardian of a patient who is under 12 years old who is unable to understand the request

Privacy Policy *

• I consent to the practice collecting and storing my data from this form.

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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