Use this service to provide consent for proxy access to medical records.
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
- 2 forms of identification for the patient and proxy
You can also phone us on 01384 566 651.