Patient Consent Forms
Consent for the practice to communicate with patients via text and/or email
The practice is aware that there are times when it would be helpful to communicate with patients via SMS text or email. For example:
- appointment reminders.
- invitations to chronic disease clinics.
- communicate requests to attend for blood tests.
- advise re the need to speak to the doctor or nurse, or to book an appointment with the doctor or nurse.
Please note this system does not offer a reply facility to enable patients to respond to texts or emails directly.
If you give consent for us to communicate with you by mobile text messaging and/or email, please download and complete this form and return to reception.
OR please read the digital consent form below and submit your consent here
To maintain the confidentiality of your information while using this system, it is ESSENTIAL that you let us know if you change your mobile number or email address. If you decide you no longer wish to receive messages through this service, you can opt out at any time by contacting reception on 028 91515300.
By giving us your mobile number and email address on our consent form, we assume consent to communicate via text/email.
Consent to share information with a carer or relative
Some patients may choose to give a named person permission to discuss their medical condition with the doctor or to request the results of blood tests etc. This is particularly common with elderly patients who give their children permission to communicate with the Practice on their behalf.
Please complete the form below if you wish to consent to sharing information:
CONSENT TO ACT ON BEHALF OF PATIENT
Summary Care Record
The Summary Care Record (SCR) is an electronic record which contains information about your name, age and address, health conditions, treatments and medicines, allergies and past reactions to medications etc.
The SCR was introduced to store information in one place making it easier for healthcare staff to care for you in an emergency, or when your GP practice is closed. This information could make a difference to how a doctor decides to care for you, for example which medicines they choose to prescribe for you.
Only healthcare staff involved in your care can see your Summary Care Record. For further information visit the NHS Care records website
It is not compulsory for you to have an SCR and you can choose to opt out of the scheme. To do this you will need to complete this form and bring it along to the surgery.
Download the opt out form >>>>
On receipt of an opt out form the practice will add a note to your medical records to ensure your data is not shared.
