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Patients Consent to Share Medical Information

PATIENT CONSENT FORM TO SHARE MEDICAL INFORMATION WITH A NAMED PERSON

If you wish for someone else (i.e a relative) to be able to discuss your medical records, including being given access to your test results & appointment information you will need to complete a consent form for this.

Please see below link for a copy of Dr Sharma & Partners Consent form which you can download and complete. Once completed, please pass this in at reception at either Sea Road Surgery or Pebsham Surgery.

Please note; this form must be signed by the patient wishing to share medical information.

Patient Consent to Share Medical Information



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