Proxy access

Online Access and Accessing Someone Else's Information

As a patient, parent, family member or carer, you may be able to access services for yourself or someone else. If you need to have access for someone else (proxy access), we can set this up for you if you are both registered with us.

To request proxy access either collect a form from reception, or download from the below and submit to the Practice :

• Proxy Access Request Form to Online Records – Patient Consent (Adult) (Word document)
• Proxy Access Request Form to Online Records for Children Under 11 (Word document)
• Request for Online Access Registration Form (Word document)

 

Consent to disclose your health information

Please download and complete this Consent to disclose your health information form (Word document) to consent to the disclosure of your private medical information to another party.