Schopwick Surgery

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Consent to Discuss Information

If you wish for someone else (ie a relative) to be able to discuss your medical records, including being given access to your test results & appointment information you will need to complete a consent form.

Please download and print the consent form below. Once completed please hand in to reception or upload the signed copy via the website.

If you are between 16-18 the consent form will only apply until the age of 18 when a new form would need to be completed.

If you are over 18 and choose to complete the consent to allow access to medical records form this consent will remain active indefinitely unless you tell us otherwise.