Online Services Proxy Consent Form
Proxy or third party access can be applied for with patient consent on this application form.
Online access may be granted for parents, carers or legal guardians to access children’s records under the age of 13.
Children aged 13 and over would be required to consent to proxy access to their records under General Data Protection Regulations.
If the patient does not have capacity to consent to proxy access and proxy access is considered by the practice to be in the patient’s best interest, section 1 of this form may be omitted.
Proxy access application will not be accepted from any third party commercial company i.e. Insurance company or solicitors.