Carer Registration

I give my permission for my name to be added to the practice Carer Register. I am aware that the practice will be unable to share information relating to the cared for persons medical records unless the cared for person completes and signs a separate Consent Form. Please ask at Reception for details.
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.