Summary Care Record Choices

Once you have read the Summary Care Record information, please submit this form.

If you require any more information, please visit the NHS website or phone NHS Digital on 0300 303 5678 or speak to your GP practice.

Summary Care Record Choices

Summary Care Record Choices

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Summary Care Record Options: *
NHS healthcare staff caring for you may not be aware of your current medications, allergies you suffer from and any bad reactions to medicines you have had, in order to treat you safely in an emergency.

Your records will stay as they are now, with information being shared by letter, email, fax or phone.

On behalf of someone else

If you are filling out this form on behalf of another person, please ensure that you fill out their details above; you sign the form above and provide your details below:
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