If you would like to consent for someone else to be able to access your medical record (by proxy) please indicate on the form below.
This form can only be completed by patients with the capacity to give consent. This form must be completed and signed by the patient giving permission for access to their record. Any incorrectly completed forms will not be processed.
Linked profiles in your NHS account
Once proxy access is set up, you can access the other person’s profile in your NHS account, using the NHS App or website.
The NHS website has information about using linked profiles to access services for someone else.
For further information, please see: How to get your medical records – NHS (www.nhs.uk)