Get Summary Care Record Consent Form

Filling out the Summary Care Record Consent Form online is an important step in ensuring your health information is accessible during emergencies. This guide will provide clear instructions on how to complete this form effectively.

Follow the steps to complete your Summary Care Record Consent Form online.

1. Click ‘Get Form’ button to access the latest version of the Summary Care Record Consent Form and open it for editing.
2. In section A, complete your personal information in BLOCK CAPITALS. This includes your title, surname, forenames, address, postcode, phone number, date of birth, and NHS number (if known). Ensure all entries are clear and accurate.
3. If you are filling out the form on behalf of another individual, ensure you complete their details in section A and your own details in section B. In section B, provide your name, sign the form, indicate your relationship to the patient, and include the date.
4. In the Summary Care Record Options section, select one of the following choices: 1) Yes, I would like a Summary Care Record containing details of my medications, allergies and any bad reactions to medications I have had; 2) Yes, I would like a Summary Care Record with additional information agreed with my GP Practice; or 3) No, I do not want a Summary Care Record. If selecting the second option, specify the additional information if you know it.
5. Review all entered information for accuracy and completeness. Check that you have made your selection regarding the Summary Care Record Options and that all sections are properly filled out.
6. Once completed, save the form if possible. You can then download, print, or share the form as necessary. Ensure that this form is returned to your GP practice promptly.

Take action now to complete your Summary Care Record Consent Form online and ensure your healthcare information is safely managed.