View Your Medical Record Online
If you would like to view your medical record online we will require you to fill out the following form.
This can be done by filling out the form below or by downloading a copy here and handing it in at Reception.
Details of the record to be accessed
Details of the person who wished to access the record (if different from above)
What level of access are you applying for
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.