Application for access to medical records (Subject Access Request)

Use this service to apply for access to your medical records (or apply on behalf of someone else).

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on 0121 359 1539.