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3rd Party Confidentiality & Consent

Whilst it is vital for the proper care of individuals that detailed records are kept of their medical history and that those concerned with their care have ready access to this information, it is also important that patients can trust that personal information will be kept confidential and that their privacy is respected.

All staff have an obligation to safeguard the confidentiality of personal information. This is governed by law, contracts of employment and, in many cases, professional codes of conduct. A statement of duty of confidentiality is signed by all staff who have access to personal information whilst at the Practice.

If you wish to allow a third party i.e. family member etc discuss your medical record or collect prescriptions / documents etc. please complete the below 3rd party confidentiality & consent form - this will then be scanned onto your medical record & noted by our staff. You can withdraw consent at any time by notifying the surgery. Please ensure you state fully who can be involved & to what extent

Click here to download our Third Party Consent Form (PDF, 488KB)

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