Note: If the patient is under 12 years old, or otherwise does not have capacity to consent to grant proxy access, Section 1 of this form may be omitted.
For verification purposes, the person/s seeking Proxy Access must provide 2 forms of identification in order to complete the registration. One form should be photographic ID (passport, driving license), and one should provide proof of your address dated within the last 3 months (utility bill, bank statement).
Online access Patient Information
Before you apply for online access to your record, there are some other things to consider.
Although the chances of any of these things happening are very small, you must read and understand the following before you are given login details. Things to consider:
There may be something you have forgotten about in your record that you might find upsetting.
Abnormal results or bad news
If your GP has given you access to test results or letters, you may see something that you find upsetting to you. This may occur before you have spoken to your doctor or while the surgery is closed and you cannot contact them.
Choosing to share your information with someone
It’s up to you whether or not you share your information with others – perhaps family members or carers. It’s your choice, but also your responsibility to keep the information safe and secure.
If you think you may be pressured into revealing details from your patient record to someone else against your will, it is best that you do not register for access at this time.
Your medical record is designed to be used by clinical professionals to ensure that you receive the best possible care. Some of the information within your medical record may be highly technical, written by specialists and not easily understood.
Information about someone else
If you spot something in the record that is not about you or notice any other errors, please log out of the system immediately and contact the practice as soon as possible.