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Aspire Medical Health at Conway PMS Providing NHS services
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BBC Health News

  • Health secretary and BMA to meet in bid to avoid strikes13 Jul 2025 02:30The meeting with Wes Streeting will take place next week, the BBC understands.
  • Alzheimer's has isolated us, says Fiona Phillips' husband12 Jul 2025 14:22Martin Frizell has spoken of the social isolation faced by the couple since the former GMTV presenter was diagnosed.
  • Latin makeup labels put people with allergies 'at risk'13 Jul 2025 08:09Cosmetic ingredients should be listed in English to protect people with allergies, campaigners say.
  • Vaccine roll-outs cut deaths by 60% - study11 Jul 2025 14:50The study looked at vaccines deployed during outbreaks of five deadly diseases.
  • Some GPs to offer coaching to get sick people back to work11 Jul 2025 18:09The aim is to help people return to work quicker and reduce the length of time they need fit notes - better known as sick notes.
  • TV doctor and IVF pioneer quits BMA over strikes11 Jul 2025 05:20The Labour peer says the strikes could damage public trust in doctors.
Home > Summary Care Record Opt-Out Form

Summary Care Record Opt-Out Form

Request for my clinical information to be withheld from the Summary Care Record

If you DO NOT want a Summary Care Record, please complete this form. If you are completing this form on behalf of another person, please ensure you provide both their details and your details below.

Patient's Details
please specify
If you know your NHS Number, please provide it
Please provide in the format DD/MM/YYYY
Details of Person Completing This Form (if not the Patient)
Further Information

What does it mean if I DO NOT have a summary health care record?

NHS healthcare staff caring for you may not be aware of your current medications, allergies you suffer from and any bad reactions to medicines you have had, in order to treat you safely in an emergency.

Your records will stay as they are now with information being shared by letter, email, fax or phone.

If you have any questions, or if you want to discuss your choices, please phone the Summary Care Record Information Line on 0300 123 3020; contact your local Patient Advice Liaison Service (PALS); or contact the practice.


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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  • 020 8854 2042

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