Historic Electronic Record Access Request Form
You are able to request your historic record be released electronically for personal review only.
Please do not use this form if you require access for any 3rd party source, such as benefits/solicitors. These requests should still be made via a SARS request to the practice.
Please bare in mind that as we are large practice, historic access requires a full record review and may take substantial time to process. These are not processed as urgent requests.
For this review to be undertaken and your record to be release to you we simply ask that you fill the form below, provide necessary ID, and the practice will review your record.
You will be contacted once your request has been processed.
This form is for historic online record access only. Not to request a paper copy of your medical records.
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