Medical Records Query 

 
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All questions marked with a * are mandatory

Please complete this form so we can best address your medical records query
Are you completing this form for yourself or another person?: *
Children & Young People
How old is your child?: *
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What information in the records are you contacting us about?
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Information in my record is incorrect

Your record is written to help medical staff look after  you and so in some cases, you may not understand everything you see. If  you find anything difficult to understand you can talk to your doctor or  nurse. 

You can also go to the NHS website for patients where you can look for  information on illnesses, improving your health and find NHS services in your local area. Visit the NHS website

Other websites often used to search for information on illnesses and test results are the Patient website and Lab Test Online UK. Although these are not owned or checked by the NHS, other patients have found them useful.

Have these links been helpful?: *
There is information in my record about another patient
How much information in your record is about another patient?: *
Abbreviations

If you see an abbreviation you do not understand, you may be able to find out what it means on the NHS abbreviations explainer site

Has the abbreviation explainer site answered your query?: *
Necessary Information

We need to gather certain information in order for us to  be able to identify the patient whose records you are contacting us about

Thank You

Thank you for getting in contact with regard to your patient record. We are pleased that we have been able to satisfy your concerns. If you have any further questions please do return to this form, or call the surgery to speak to a receptionist

Privacy Consent

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