Consent to share information

Use this service to give permission for a carer or relative to access or discuss your medical information with the practice.

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
• if applicable, the details of the person you are completing the form on behalf of#
• the name and contact details of your carer or relative
• the relationship between you and your carer or relative
• which parts of your medical information you want them to have access to

Start now

You can also phone us on 01986 874618.