Get Dat1 Form

Filling out the Dat1 Form online can streamline the process of requesting your personal information held by the Northern Ireland Ambulance Service. This guide provides step-by-step instructions to help you complete the form accurately.

Follow the steps to complete the Dat1 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your personal information in the 'About Yourself' section. Ensure you use block capitals for your answers. Start with your title by selecting the appropriate box (e.g., Mr, Mrs, Miss, Ms, or Other Title). Then, enter your surname and first names, along with your date of birth and home address, including the postcode.
3. If you wish to receive the response at an address other than your home address, fill in the relevant fields with this alternative address and include its postcode.
4. In the 'Request for Data Held' section, specify the date of the incident for which you seek records. Additionally, provide the location of the incident attended by the Northern Ireland Ambulance Service, the patient's name related to the event, and the destination hospital where the patient was taken.
5. Indicate your eligibility to access the information by ticking the appropriate box: whether you are the patient, have parental responsibility for the patient, or are the patient's representative. If you are accessing information regarding the patient’s death, provide your relationship to the patient and note your reasons for the request.
6. Sign the declaration at the bottom of the form, confirming the accuracy of the information provided and your entitlement to access it. Include the date of signing.
7. Before submitting your application, ensure you have completed all sections of the form, enclosed the required identification documents, and signed the application form. Once verified, forward the completed application to the address provided in the instructions.

Complete the Dat1 Form online today and take the first step in accessing your personal information.