Proxy Access

There are a number of patients who book their appointments, request repeat medication and can view certain parts of their medical records online.

Patient Access have now improved their system to allow parents and Carers to be authorised to all of the above-mentioned functions for children or the people they care for.

Any patient or Carer wishing to have proxy access will need to sign up to this service by completing a form available at the practice Reception.

Proxy Access Patient Consent Form

The Patient

(The person whose records another individual(s) is to be given access to)

Name
Date of Birth
Gender
Address

Details of person to be given access to this patient’s information

Name
Address
Is this access going to be limited in anyway?
Drop files here or
Max. file size: 1 GB.
    Please upload prof of your ID and prof of address
    Date