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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1 with the patient's details, including full name, any former names, sex, date of birth, current address, email address, telephone number, and NHS number if known. If you are not the patient, provide your details in the applicant section.
In Section 2, indicate which records you wish to access by ticking the relevant box. Options include viewing all clinical records or requesting specific copies via email or post.
Proceed to Section 3 and select your declaration status. Ensure that you sign this section in front of a witness who is not a family member.
Complete Section 4 by having your witness fill in their details and sign. This step is crucial for validating your application.
Finally, review Section 5 for submission instructions. Ensure all required documentation is included before sending your request to the Data Protection Office.
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This request must contain the persons name, mailing address, email address, and daytime telephone number. The request must also identify the records requestedRead more
In Short: We only process your personal information when
At any time, you have the right to request access to or correction of your personal information. You can make such a request by contacting us by using theRead more
A data subject is an individual who is the subject of the personal data. If you wish to make a DSAR, please complete this form and return to us by post or emailRead more
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