Consent to proxy access to GP online services

Use this service to provide consent for proxy access to medical records.

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

In order to be granted with proxy access to GP online services, both the patient and the representative(s) must come to the surgery with ID. We need to see proof of ID of the representative and proof of the relationship between the patient and representative, i.e. driving licence and birth certificate. You will be asked to come back later if you do not provide 2 forms of ID.

Start now

You can also phone us on 01384 422591.