Applicant notified and View only? Clinician contacted for viewing Clinician: appointment made for ______________________ Copy only? collection? View and copy _____/________/201____ Further work required? Yes No Redacted by: Redaction completed on: (Inits only) _____/________/201____ Information passed to Date closed applicant _____/________/201____ _____/________/201____
Applicant notified and appointment made for collection? _____/________/201____ View only? Copy only? View and copy Clinician contacted for viewing Clinician: ______________________ Further work required? Yes No Redacted by: (Inits only) Redaction completed on: _____/________/201____ Information passed to applicant _____/________/201____ Date closed _____/________/201____
DPA_Subject_Access_Request_to_Personal_Health_Records.docx