Get 060810 - Form - Mecr Opt Out - Gov

This guide provides comprehensive instructions on how to properly complete the 060810 - Form - MECR Opt Out - Gov online. Users seeking to withhold clinical data from the Manx Emergency Care Record will find step-by-step directions tailored to their needs.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin filling out the form by entering your title in the designated section. Use block capitals for clarity.
3. In the next fields, provide your forename(s) and surname, ensuring they are also written in block capitals.
4. Enter your date of birth in the specified format. This helps verify your identity.
5. Fill in your address and postcode accurately to ensure proper communication.
6. Include your telephone number for any follow-up queries related to your request.
7. If known, provide your NHS number to assist with processing your opt-out request.
8. Indicate your relationship to the patient by selecting either 'I am the PATIENT named above' or 'I am the PARENT or GUARDIAN of the above'. Remember to delete the statement that does not apply.
9. Sign and date the form in the designated areas. If you are a parent or guardian, include your printed name.
10. Once you have completed all the fields, review the form for accuracy before submission.
11. Save your changes and download, print, or share the completed form with your GP Practice.

Complete your MFCR Opt Out Form online today for a seamless process.