Subject Access Request (SARs)

You will appreciate that health data relating to any individual is highly confidential and the Practice must ensure that it releases such data only to the person to whom it relates, or to a person authorised to act on his or her behalf. If you require to see any health data, please complete this online Request Form as fully and accurately as possible to enable us to locate the exact information you require.

You do not have to give a reason for applying for access to your General Practice records. If you do not need access to your entire records, it would be helpful if you would inform us of the periods and area of your health records that you require, along with details which you feel may have relevance (e.g. clinic type, location, dates).

Timescale

The Practice will deal with your request as quickly as possible. The information should be available to you from 14 to 28 days of receipt of your accurately completed form and confirmation of consent. Under certain circumstances, this period can be extended to 3 months but we will keep you informed of the progress of your request during this extended period.

Fees

We will not make a charge for the first request for access to your medical records. We may, however, charge for subsequent requests or if we deem that the volume of information requested is excessive. You have the right to simply view your records (i.e. not receive a copy in a permanent form); information on how to arrange this is detailed below.

Proof of identity

Two forms of identity must be provided (one of which must be photographic). This is to ensure information is not released to unauthorised individuals. The table below outlines the proof of identity we can accept.

TYPE OF APPLICATIONIDENTIFICATION REQUIRED
Patient applying for their own One which must be photographic i.e. passport. One containing individuals name and address
Third Party Applying. Consent of Patient will be required  BEFORE the request will be processedOne containing Third Party name and address One must be Photographic ID of Third Party  
Applying on behalf of a child 
We will ALWAYS obtain consent for release of records from a child age 13+ to <16 if a third party is making request		One which must be Child’s birth certificate Photographic ID of person with parental rights

If you are completing this application on behalf of another person, the Practice will require their authorisation before we can release the data to you. The person whose information is being requested should sign the relevant section within the online form. If the patient is a child (i.e. under 16 years of age) the application may be made by someone with parental responsibilities – in most cases this means a parent or guardian. If the child is capable of understanding the nature of the application, his or her consent should be obtained or, alternatively, the child may submit an application on their own behalf.  Children will, generally, be presumed to understand the nature of the application if aged between 13 and 16 however, all cases will be considered individually.

Cannot fill online form? Please download our paper forms: Request own medical record | Request on behalf

Medical Record Request

Section 1. Applicant Name
MM slash DD slash YYYY
I am requesting
Section 2. The Medical Records of a Child/Another Adult
MM slash DD slash YYYY
Section 3. Type of Request

Format
Consent (Tick which applies)
Drop files here or
Max. file size: 50 MB, Max. files: 5.
    Proccessing time Notice
    The Practice has up to 28 days to respond to your request. If additional information is needed before copies can be supplied, the 28-day time limit will begin as soon as the additional information has been received. The 28 day time limit can be extended for two months for complex or numerous requests where the data controller needs more time to collate and supply the data. You will be informed about this within 28 days and provided with an explanation of why the extension is necessary.
    I consent to the practice collecting and storing my data from this form.
    This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS.
    MM slash DD slash YYYY