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Accessing your patient record

You will appreciate that health data relating to any individual is highly confidential and the Practice must ensure that it releases such data only to the person to whom it relates, or to a person authorised to act on his/her behalf. Please complete this Request Form as fully and accurately as possible to enable us to locate the exact data you require.  If you do not need access to your entire records, it would be helpful if you would inform us of the periods and parts of your health records that you require, along with details which you may feel have relevance (e.g. Clinic type, location, dates).

Proof of identity

Two forms of identity must be provided (one of which must be photographic). This is to ensure no information is released to unauthorised individuals. The table below outlines the proof of identity required.

TYPE OF APPLICATION

IDENTIFICATION REQUIRED

Patient applying for their own 
Can be waived if the applicant is known to the Staff Member accepting the request.

One which must be photographic e.g.
passport. One containing individuals
name and address.

Third Party Applying. Consent of Patient will be required BEFORE the request will be
processed.

One containing Third Party name and
address. One must be Photographic ID
of Third Party.  

Applying on behalf of a child
In Scotland the age of consent is 12.
We will ALWAYS obtain consent for release of
records from a child age 12+ to <16 if a third party is making request.

One which must be Child’s birth certificate, & Photographic ID of person with parental rights.

 

If you are completing this application on behalf of another person, the Practice will require their authorisation before we can release the data to you. The person whose information is being requested should sign the relevant section within the form. If the patient is a child (i.e. under 16 years of age) the application may be made by someone with parental responsibilities – in most cases this means a parent or guardian. If the child is capable of understanding the nature of the application, his/her consent should be obtained or, alternatively, the child may submit an application on their own behalf.  Children will, generally, be presumed to understand the nature of the application if aged between 12 and 16.  All cases will be considered individually.

PLEASE NOTE (9/2/23) Our patient paper file records are in the process of being scanned. As such there will be a delay in the processing of your request. Our typical turnaround time is 20 days. Due to our record scanning project this timeline is now approximately 40 days.  We expect the electronic versions of patient records to be available from mid-April. 

Thank you for your understanding.

Subject Access Request Form

Once completed please drop the form off at the Practice or email the completed form to nhsh.gp56006-admin@nhs.scot

File size

144KB

File format

docx

File Language

English