Submitting your request

Personal Details

You will be asked to provide your personal details before submitting your request. Providing this information will allow us to match your medical record to the request you have submitted.

If you are submitting this form on behalf of someone else then you will asked to provide your own details along with theirs. Examples of when and might be the case could include;

• You are the person’s parent/guardian
• You are the person’s carer

Once you have completed the details and entered your phone number, you will then be asked whether you have access to the phone the number is connected to.

If you click ‘Yes I do‘ and then ‘Continue‘ you will be sent an SMS message with a verification code to enter on the next page. This verification code is known as a two-step authentication process and allows us to match your request to your health record much faster. (Please note, this code isn’t a confirmation of your request submission)

If you click ‘No I don’t‘ then you will be able to continue to complete the form, however, it may mean that there will be a slight delay in your request being completed as we will need to manually locate your health record and match it with your request.

Confirming Your Request

Once you are satisfied with the information you have provided you will be able to;

• Confirm you are sending this to the correct GP practice,
• Confirm that all the information you have provided is relevant and accurate,
• Confirm that you have entered your personal details correctly
• State the best method to contact you, ‘Text Message‘ or ‘Phone Call‘,
• If you would like to receive a confirmation text of your request once submitted.

When you are finished select the ‘Submit Request‘ button at the bottom of the screen

You will be navigated to the next page confirming that your request has been submitted.

We will then review your request within 4 working days. If you become more unwell or need help more urgently, please call us at the practice. If we are closed, please visit NHS 111 online or call 111. In an emergency please call 999