Accessing Medical Records

Your detailed medical records held by KAMP are not shared with other parts of the NHS who may be involved in your medical care, for example the Community Nursing Team. Should you wish your records to be shared with other such organisations within the NHS, please complete and submit this form.

Consent to Sharing Medical Records

If you are human, leave this field blank.

Full Name *

Date of Birth *

Please use this in date format DD/MM/YYYY

Email Address *

Full Address *

Including Postcode

NHS Number (if known)

I give consent to Kennet and Avon Medical Partnership to share out my medical records. I am aware that the whole of my medical records will be visible to other healthcare providers. I understand that I can request a change to this at any time by putting a request in writing to Kennet and Avon Medical Partnership. *

Yes

Signature *

Date

Tell us whether you accept cookies

KAMP Patient Participation Group