summary care records your emergency care summary

 

Summary Care Records

I have read and understood the information about the Summary Care Records Additional Information Service*. I do not wish for healthcare partners (eg hospital, GP out of hours) to share my additional information. I understand it is now my responsibility to ensure my medical history (eg medication taken, allergies) is accurately given to the doctors and nurses treating me at the hospital or GP out of hours

I have read and understood the information about the Summary Care Records Additional Information Service*. I do not wish for healthcare partners (eg hospital, GP out of hours) to share my additional information. I understand it is now my responsibility to ensure my medical history (eg medication taken, allergies) is accurately given to the doctors and nurses treating me at the hospital or GP out of hours

First name*

First name*

Last name*

Last name*

Address*

Address*

Post code*

Post code*

Date of Birth*

Date of Birth*

Powered by Survey Maker

Please note:

This form is sent to Whitestone Surgery via e-mail. Please do not use this form to submit clinical Information, or to request or book appointments. Our practice policies and up-to-date information leaflets are on display in reception. For more information regarding our suggestions and complaints procedure click here. To view our privacy policy, please click here.

Whitestone Surgery

Please contact us at:

82 Bulkington Lane
Nuneaton
CV11 4SB

02476 641911

Click here to find us on the NHS website
Facebook Instagram Follw Whitestone Surgery On X Envelope

Latest News

© Copyright - Whitestone Surgery | Powered by Zebu Dezign

Top