Summary Care Record Opt Out

If you are filling this form on behalf of another person or child please ensure you fill their details in section A and your details in section B.

Summary Care Record - Additional Information If you are registered with a GP practice in England, you will have a Summary Care Record (SCR), unless you have previously chosen not to have one. It includes important information about your health: Medicines you are taking Allergies you suffer from Any bad reactions to medicines You may need to be treated by health and care professionals that do not know your medical history. Essentials details about your healthcare can be difficult to remember, particularly when you are unwell or have complex care needs. Having a SCR means that when you need healthcare you can be helped to recall vital information. SCR's can help the staff involved in your care make better and safer decisions about how best to treat you. You can choose to have additional information included in your SCR, which can enhance the care you receive. The information includes: Your illnesses and health problems Operations and vaccinations you have had in the past How you would like to be treated - such as where you would prefer to receive care What support you might need Who should be contracted for more information about you

If you are filling this form on behalf of another person or child please ensure you fill their details in section A and your details in section B.