Summary Care Record Consent Form

If you were rushed to hospital how much would the doctor know about you?

If you are registered with a GP practice in England you will have a Summary Care Record (SCR), unless you have previously chosen not to have one.

The SCR could be accessed by Hospitals, Pharmacies, Out of Hours, 111 Community and Ambulance Services countrywide. This is especially useful when you need unplanned care or if you are away from your GP practice.

Your SCR shows health professionals your current medications, allergies and any bad reactions to medication. However, you can choose to have additional information included in your SCR.

Having additional information added to your SCR will help healthcare staff make better and safer decisions about how best to treat you.

The following information will be included:

  • Your illnesses and health problems
  • Operations and vaccinations you have had in the past
  • How you would like to be treated – such as where your would prefer to receive care
  • What support you might need
  • Who should be contacted for more information about you

All information is confidential and only accessible to NHS staff with your permission at the point of care.

For more information about Summary Care Records with additional information:

If you would like additional information added to your Summary care please complete this consent form and we will update your record.

Summary Care Record Consent Form
Please use date format DD/MM/YYYY
Any responses to this form will be sent to this email address.
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