Summary care record choices

Summary Care Record Choices

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Is this your up to date telephone number? *

Yes

Patient Address (including postcode):

Patient NHS number (if known):

Summary Care Record Options:

Yes, I would like a Summary Care Record containing details of my medications, allergies and any bad reactions to medications I have had.

Yes, I would like a Summary Care Record containing details of my medications, allergies and any bad reactions to medications I have had and any other information that I have agreed with my GP Practice to have included in my Summary Care Records.

No, I do not want a Summary 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.

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