If you wish for someone else (i.e a relative) to be able to discuss your medical records, including being given access to your test results & appointment information you will need to complete a consent form for this.
Please see below copies of The Park Surgery Consent templates which you can download and complete. Once completed please pass this in at reception at either The Park Surgery or Herne & Broomfield Surgery.
If you are between 16-18 the consent form will only apply until the age of 18 when a new form would need to be completed.
If you are over 18 and choose to complete the consent to allow access to medical records form this consent will remain active indefinitely unless stated otherwise or you take action to rescind the consent given.
Patient Consent Form (Allowing someone access to discuss medical record) over 18
Patient Consent Form (Allowing someone access to discuss medical record) 16-18
