Main Street Empingham LE15 8PR   01780 460202

Summary care record preference

Summary Care Record Opt Out Form Your Summary Care Record contains important information from the record held by your GP practice and includes details of any medicines you are taking, any allergies you suffer from and any bad reactions to medicines that you have previously experienced.
 
Your Summary Care Record also includes your name, address, date of birth and your unique NHS Number to help identify you correctly.
 
As part of a mandatory national programme each GP Practice had to make a summary care record for each patient by March 2015 (unless the patient has already opted out).
 
You can choose to opt out of this scheme at any time. If you wish to opt out of the Summary Care Record scheme please complete the opt out form below. If you do not want a Summary Care Record please fill in the form below.
Summary care record preference
Section A
If you are filling this form on behalf of another person or child please ensure you fill their details in section A and your details in section B.
Opt In/ Opt Out of sharing your Enhanced Summary Care Records
Opting Into Enhanced Summary Care Records means that your GP can share key clinical information from your medical records with other clinicians that will require access should they be involved in providing treatment to you whilst under their care.
Address
Address
Street Address
Address Line 2
City
County / State
ZIP / Postal Code
Country
Section B
If you are filling this form on behalf of another person or child please ensure you fill their details in section A and your details in section B.

Useful signposts

Be inspired by a variety different wellbeing tips and techniques to help you lead a positive and healthy life.

Activities, support and resources for adults and families, and for young people with special needs.

Read the latest rules and guidelines to help you stay safe during the Coronavirus pandemic.

An opportunity for local people to have a powerful voice on the health and social care services they use.