Thanks for completing the form!

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We will process the request and try to respond within 1 week by a text message, phone or email. If your request is urgent then please contact the surgery saying you have completed the form and need it to be processed more urgently.

Please click here if another questionnaire needs to be completed for another member or complete the form below

Records Access and Understanding Safety Checklist Questionnaire

Please complete all 10 questions. We will then process your request and send a reply back to confirm you have access to your electronic health records. It takes between 2-4 minutes to complete. Every person needs to complete this. If you are doing this on behalf of somebody else then please remember to state your relationship with the person and that you have permission to do so on their behalf
Name
Address
1. I am doing this questionnaire for myself?
2. Can you read and understand English ?
3. Have you registered for ordering repeat prescriptions and booking appointments on-line?
4. Are you happy to use passwords to access your record?
5. After you have been to the doctor or to the hospital, you can check if the encounter has been recorded and what was discussed. Do you agree this is a good reason to have access to your records?
6. Would you like to feedback what you think of the Records Access system?
7. There maybe an instance when accessing your medical records online, you may read some information that could be shocking or upsetting. What do you do if this happens and you cannot speak to your doctor / nurse immediately? Please tick all options that apply
8. You see a new letter has arrived in your electronic health record. You open up the letter to find it is about another patient in the practice. What do you do?
9. Would it upset you if you read something somebody else has said about you with regards to your health? This does NOT mean others can see your record without your permission.
10. Do you feel you understand what Records Access means?
This field is for validation purposes and should be left unchanged.

In the meantime, please click here to learn more about the online services we offer.

Please also look at what else you can do to get the best from the practice