Accessible Information

Accessible Information Standard

The Accessible Information Standard aims to ensure that patients (or their carers) who have a disability or sensory loss receive information they can access and understand, for example in large print, braille or via email, and professional communication support if they need it, for example from a British Sign Language Interpreter.

This applies to patients and their carers who have information and or communication needs relating to a disability, impairment or sensory loss. It also applies to parents and carers of patients who have such information and or communication needs where appropriate.

Individuals most likely to be affected by the Standard include people who are blind or deaf, who have some hearing or visual loss and people with a learning disability. However, this list is not exhaustive.

If you feel that this applies to you or someone you care for, please complete the Accessible Information form:

Downloadable Accessible Information form

Accessible Information Request Form

Comments
This field is for validation purposes and should be left unchanged.
Name(Required)
First Last
Date of Birth(Required)
Day
Month
Year
Phone Number(Required)
Email Address(Required)
Address(Required)
Address Line 1 Address Line 2 Town/City County Postcode
Request for Information in an alternative format
Please select the format you require:
- Large Print
- Easy to Read
- Via Email
- Via Telephone
- Braille/Signer
- Hearing Loop
- Other Support
Preferred method of communication:
What happens to my information?
Personal and medical information about patients registered at Peverell Park Surgery is primarily kept electronically, although some is kept in paper form. Some information will be sent to hospital consultants and other health professionals to whom you are referred by your GP in order to provide continued healthcare and obtain treatment for you. We sometimes use accredited suppliers for our communication with you (please refer to our website Privacy Policy), for example when we send recall letters for review clinics or medication reviews. All suppliers we use are checked carefully to ensure they comply with strict confidentiality protocols. To ensure the security of all patient information, all staff that has access to your records is covered by confidentiality clauses in their contracts and the Data Protection Act and the Freedom of Information Act. Our guiding principle is that we hold your records in strict confidence.
Consent(Required)
- I certify that the information I have provided is correct and consent to my personal and medical information being used as stated above.
Signature(Required)
Today's Date(Required)
Day
Month
Year

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Peverell Park Surgery & University Medical Centre

Accessible Information

Accessible Information Request Form

Request for Information in an alternative format

What happens to my information?

Check out our CQC report