Summary Care Record Opt Out

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Summary Care Record (SCR)

The Summary Care Record (SCR) system is designed to help both your GP and any emergency staff you contact when the surgery is closed to treat your health needs more efficiently.

Your information will be shared between your GP practice, our local hospital and Out Of Hours service.
This will enable your GP surgery to access results and any visits you have at the hospital quickly and efficiently, but it also means that if you have an emergency and contact the Out Of Hours service or visit A&E they will have access to your current medications as well as allergies and are better able to treat you.

More information about your Summary Care Record

You can use this form to:

Register an SCR Opt-out, for yourself or for a dependent (if you are the parent or legal guardian of the patient) (to Opt-out)

What does it mean if you do not have a Summary Care Record?

NHS healthcare staff caring for you may not be aware of your current medications, allergies you suffer from and any bad reactions to medicines you have had, in order to treat you safely in an emergency

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Details of person completing the form

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Patient details

Help Us To Help You

Providing a NHS Number means that we can find a patient record more accurately, saving time and resources.

How to find your NHS Number

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Preferences & Declaration

You are answering the following questions about

Name:
NHS Number:

Please return to the previous pages to make any amendments

If you are making an application on the behalf of somebody else we require evidence of your authority

Please upload a copy of your evidence

You can upload a document, photo or scan

Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx

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Privacy Consent

This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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