Local record sharing

Are you happy for us to share your medical records with other NHS services? *

Yes I would like to make information recorded at Cromer Group Practice available so it can be seen by other NHS services caring for me

No I would not like to make information recorded at Cromer Group Practice available so it can be seen by other NHS services caring for me

Are you happy for your medical records held with other NHS services to be shared with us? *

Yes I would like the information held by other NHS services to be seen by Cromer Group Practice

No I would not like the information held by other NHS services to be seen by Cromer Group Practice

Patient Signature: *

Date:

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