Accessing your medical records – Branchalwood Medical Practice

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 the below Subject Access Request Form as fully and accurately as possible to enable us to locate the exact data you require.

The General Data Protection Regulations (GDPR) give you the statutory right of access to any information, manual (paper) or computerised. You may wish to authorise someone else to make your application on your behalf. If you have parental responsibilities you may make an application to see your child’s notes.

You do not have to give a reason for applying for access to your General Practice records. 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).

Timescale

The Practice will deal with your request as quickly as possible. The information should be available to you within 28 days of receipt of your accurately completed form and confirmation of consent. Under certain circumstances, this period can be extended to 3 months but we will keep you informed of the progress of your request during this extended period.

Fees

You will not be charged for the first request for access to your medical records. However, there will be a charge for subsequent requests. For records >100 pages, there is a fixed fee of £50. For records <100 pages, there is a charge of 35p per page and a £15 admin fee.

Subject Access Request (SAR) Form

Patient name*
First Last
Date of birth*
MM slash DD slash YYYY
Phone number*
Email
Enter Email Confirm Email
Type of request*
- Specific/certain parts of medical record
- Partial medical records
- Full medical records
Please note: partial records should be selected if you require records from a certain date or date range e.g. 2006 - present or 2012-2015. Specific/ certain parts of records should be selected if you require records pertaining to a specific condition/clinic/diagnosis etc. Tick applicable
If you are requesting partial records or certain/specific parts of records, please specify what you are looking for below:
Consent*
- I am the patient
- I am acting on behalf of the patient who has signed the consent section
- I am the parent/guardian of a patient who is 12-16 years old and has signed the consent section
- I am the parent/guardian of a patient who is under 12 years old and is unable to consent
Tick applicable
Consent*
I agree to the privacy policy.
Please note that no medical information or questions will be responded to. The data you supply on this form will be stored on our website, which is hosted by a third party, until it has been processed by the practice. The data will be used lawfully, in accordance with the Data Protection Act 2018, which gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly. The practice privacy policy can be viewed on this website.