Use this service to consent to us sharing electronic information with clinicians in other NHS organisations who are involved in your care.
If you would rather we didn’t, we will put an entry on your record which will prevent your information from being shared.
It is important to complete this form, as your practice cannot make a decision for you. Without your direction, we cannot guarantee that your wishes will be met, even if you have previously made a similar choice in another practice.
Find out more about data sharing.
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
You can also phone us on 01865 374242.