Third party consent to allow access to medical information

Use this service to consent to allow access to your medical information for a third party.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 01992 938120 or visit the surgery in person.