Frimley Health NHS Foundation Trust
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Patient Information being requested
Please enter the details of the patient information being requested.
If you are not the patient, you will be asked to enter your details on the next page.
Person Requesting the Patient Records
Please attach a copy of the patient’s written consent/legal documentation authorising you to request information on the patient’s behalf, which can be done at the bottom of the form before submitting. Note: For other NHS Organisations, please provide the name of your organisation, and your contact details, i.e., email address and telephone number.
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Request Details
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Please detail the information being requested
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Attachments and Documentation
The Trust needs 2 proofs of identification - 1 needs to be photographic ID e.g. passport, driving licence and 1 proof of address dated within the last 3 months e.g. utility bill, bank/credit card statement.
If requesting on behalf of a patient, please provide a copy of their written and signed consent (their ID is not required when consent is provided) .
If the request for information relates to a child under the age of 16 we'd need a copy of their birth certificate naming the parent(s). Over the age 16 the child needs to consent for themselves.
For requests relating to a deceased patient this is handled under a different process on a case by case basis.
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