Subject Access Request (SAR)

The General Data Protection Regulations(GDPR) gives you the statutory right of access to any information, manual (paper) or computerised. You may wish to authorise someone else to make your application on your behalf and if you have parental responsilities you may make an application to see your childs notes.

You do not have to give a reason for applying for access to your General Practice records. If you do not need to access 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 (eg, dates, clinic type, etc)

Last Updated: 03/02/2023

Type of Request

If you request copies, these will be ready within the allocated timescale. We will telephone you when they are available for you to come into the Practice to collect them.

FEES / TIMESCALE

We will not charge for the first request for access to your medical records.

We will deal with your request as quickly as possible, usually within 4 weeks depending on the volume of information you have requested.

APPLING ON BEHALF OF SOMEONE ELSE

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 with the online form. If the patient is a child (under 16 yrs of age) the application may be made by someone with parental responsibilites. If the child is capable of understanding the nature of the application, their consent should be obtained or alternatively, the child may submit an application on their own behalf. All cases will be considered individually.

Applicant Details

First Name *

Surname *

Email Address *

Date of Birth *

Phone Number *

I am requesting *

My own medical records

The medical records of another adult

The medical records of a child

Information Being Requested

Please provide specific details (along with any relevant dates) of the information being requested and any additional information that may help us to locate the personal data and to confirm the patients identity.

By completing this form, the patient is making a subject access request under the GDPR for personal data collected, processed and held about the patient by the Practice that they are entitled to receive.

What information are you needing? *

Consent

Tick which applies *

I am the patient

I have been asked to act by the patient, as detailed, and who has signed authorisation section

I am the parent/guardian of a patient who is between the age of 12 and 16 years old who has signed the authorisation section

I am the parent/guardian of a patient who is under 12 yrs who is unable to understand the request

Signature

Signature of Applicant *

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Subject Access Request (SAR)

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