Show Side Menu
To view, print or save our practice booklet, click here
Useful Resources
Call 111 - When it is less urgent than 999

Consent

Consent to Share Medical Information With a Carer or Relative

All our patients have a right to confidentiality. This means that we do not share information about you with anyone except those working for other health and social care organisations involved with your care or except in the most exceptional of circumstances, when somebody is at grave risk of serious harm.

However, you may wish other members of your family or close friends who might be involved in your care, to be able to talk to the staff about your care on your behalf. This can be particularly useful if you find it difficult to get to the GP surgery or communication is difficult for you (such as hearing a voice on the telephone) or if that person helps to care for you.

By completing the Consent to Share Medical Information form (Please click on link below) will allow you to enable us to share information about your care with the person you specify on this form. We need both you and the person you would like us to share your information with to sign this form. It is important that your Carer or relative treats information about your care as confidential.

You have the right to allow access to all or only part of your medical information. For instance if you have had previous medical problems you would prefer your Carer or relative not to know about, you can specify this on the form. You can also override this consent to share information at a later date if you wish, for instance if you are currently undergoing treatment for a mental health condition requiring a Carer to be involved and then your condition resolves.

If you have more than one person whom you wish to give permission for us to share information with, please fill out a separate form for each and return to reception.

Consent Form for Information Sharing

This form is also available from our reception team.

Your Neighbourhood Professionals. Just a Click Away!
Black Swan Care Group Springfield Hospital