Consent to share information

Use this service to give consent to share information.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Once you submit, we will review and may contact you if further information is needed.

Submit your request