Please indicate your preferred option: Email please supply an up to date secure email address – □ Email address: □ How would you like Printed □ the information to be Online access to the medical record □ provided, if possible? Other please specify: – □ Please note, it may not always be possible to supply the information in your preferred format. Please note that you might be contacted by the practice for further information, or clarification about the request, if needed. Any questions? Please contact the Practice Manager
How would you like the information to be provided, if possible? Please indicate your preferred option: □ Email – please supply an up to date secure email address □ Email address: □ Printed □ Online access to the medical record □ Other – please specify: Please note, it may not always be possible to supply the information in your preferred format. Please note that you might be contacted by the practice for further information, or clarification about the request, if needed. Any questions? Please contact the Practice Manager
GP-Practice-Subject-Access-Request-Policy-v1.docx