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Get Uk Nhs Ayrshire & Arran Application For Access To Health Records 2021-2025
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How to fill out the UK NHS Ayrshire & Arran Application For Access To Health Records online
Accessing your health records is an important process that ensures you have control over your personal medical information. This guide will provide clear and supportive instructions on how to fill out the UK NHS Ayrshire & Arran Application For Access To Health Records form online.
Follow the steps to complete your application successfully.
- Utilize the ‘Get Form’ button to retrieve the application form and open it for editing. This ensures that you have the latest version of the document.
- In Section 1, input your patient details. Fill in your surname, forename(s), address, date of birth, telephone numbers, sex, and postcode. If you have changed your name or address during the relevant periods, please provide that information in the space provided for previous details.
- Proceed to Section 2, where you will provide information about your NHS contacts. Include details about the NHS premises you attended, the ward, clinic, or department, and any healthcare professionals associated with your treatment. This information helps expedite the processing of your request.
- Complete Section 3, which requires a declaration. Choose the appropriate checkbox according to your role—whether you are the patient, an authorized person, or a parent/guardian—and sign under this section in the presence of a person who will countersign your application.
- In Section 4, input your name and the address where you want the response sent, and ensure you sign this section. If your address is the same as provided earlier, you may skip this part.
- Move to Section 5 to provide authorization. Here, the patient must authorize NHS Ayrshire & Arran to release their health records to the person you have named. The patient should include their signature and the date.
- In Section 6, a countersignature is required. Have a qualified individual witness your signing of the declaration and certify your identity. Fill in their name, profession, address, and contact telephone number.
- Finally, review your completed form for accuracy. Once satisfied, you may save, download, print, or share the form as needed before sending it to the specified address: Legal Office, Medical Records, University Hospital, Crosshouse, KA2 0BE.
Complete your application online today to gain access to your health records.
NHS Ayrshire and ArranTypeNHS boardEstablished1 April 2004HeadquartersDalmellington Road Ayr KA6 6ABRegion servedEast Ayrshire North Ayrshire South Ayrshire4 more rows
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