Patient Consent to Share Information with Others Form

We will need you to consent in writing if you wish to share information about you with others ie family members speaking on your behalf.  This applies to all patients aged 13 or over.  The GP will assess your competency to make decisions about your medical record however from the age of 16 we assume you are competent to make these decisions unless there is information to state otherwise.  Wherever possible verbal consent will not be a first choice and to evidence when the consent was given, it should be in writing using this form so it can be evidenced in your medical record.

TEMPLATE CONSENT FORM