Subject Access Request (SAR)

You have the legal right to request a copy of the information we hold about you, in line with the UK General Data Protection Regulation (UK GDPR). This is called a Subject Access Request (SAR).

What information can I request? You can request information on medication, investigations, documents, problems, referrals, appointments, consultations and medical history

Will I pay a Fee? In most cases a SAR is free. However, a ‘reasonable fee’ can be charged for the administrative costs of complying with a request that is manifestly unfounded or excessive, or if you request further copies of your data

How long will it take to process? We will normally respond to your request within one month. However if you have made a number of requests or your request is complex, we may need extra time to consider your request and this may take up to an extra two months

What do I do if something is missing? If you think personal information is missing from our response, please contact us directly, clearly listing what other information you think we also hold

How do I make a SAR? Please complete and sign the form below

Data protection: Our Privacy Notice describes the data the practice holds about you, why we hold it, where and how we store it, how long for and how we protect it. It also tells you about your rights under Data Protection Legislation and how the law protects you

Subject Access Request Form

Patient Details

Name(Required)

First Last

Date of Birth(Required)

Full Address(Required)

Mobile Phone Number(Required)

Email Address(Required)

What information would you like to access?

Select an option:(Required)

Medication

Investigations

Documents

Problems

Referrals

Appointments

Consultations

Medical History

Consultation Dates

Medical History: From Date

Medical History: To Date

What is the reason for this request?(Required)

* All requests will be prepared in email format and will be sent via encrypted email.

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 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)

Date(Required)

Please note that this request is only valid for the information you have requested today. If you would like further information you will need to complete a new Subject Access Request. Your request will be ready no later than 30 days after receiving this document.

Phone

This field is for validation purposes and should be left unchanged.