Subject Access Request (SAR)

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Did you know, you can access your medical record with the NHS APP. Go to NHS App for more details. For support use our Digital Access Form

All questions marked with a * are mandatory

Please choose one option: *

Children aged thirteen or over who understand what this request means, will usually complete this form as the patient.

For children under sixteen, a parent or guardian may make the request if the child is not able to do so themselves. This will be assessed in line with UK GDPR and NHS guidance.

If you are acting for someone else, we may need proof of consent or legal authority.

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Applicant's Details
Patient's Details
Please double check you've entered the correct email address. A confirmation of the request will be sent to this address.

Help Us To Help You 

Providing a NHS Number means that we can find a patient record more accurately, saving time and resources. 

How to find your NHS Number 

Do you have a previous address we may hold on record?: *
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Additional Information

You do not have to provide a reason for applying for access to health records.

  • However, telling us which dates or parts of the record you need can help us process your request more quickly and reduce unnecessary work. Please complete any sections that apply.

For example, radiology results, clinic letters, test results, or information about a particular condition or event.
Proof of Authority

If you are making an application on the behalf of somebody else we require evidence of your authority

Please upload a copy of your evidence

  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Details of where medical records are to be sent
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Declaration

You are requesting access to the records of:

  • Name: 
  • NHS Number: 

If you need to make changes, please return to the previous pages.

If we have any doubts about your identity or your entitlement to make this request, we will ask for further information before releasing any records.

Under UK GDPR, we will respond to your request within one calendar month of receiving all the information we need to process it.

When information is released, some details may be removed. This is to protect the confidentiality of third parties who have not given consent for their information to be shared.

To keep patients safe, we will contact the patient by telephone, using the contact details held in their record, to confirm their identity and the request.

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Privacy Statement

By submitting this form, you acknowledge that your information will be used in accordance with our Privacy Policy.

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