Your Child's details
Parent or Guardian details
MUST be a registered patient at this practice and residing at the same address.
Please provide the names, dates of birth and relationship to the patient you are registering
Your Child's details continued
Your Child's family history
Prescriptions - Electronic prescribing
Sharing your Child's health record
What is your health record?
Your health record contains all the clinical information about the care you receive. When you need medical assistance it is essential that clinicians can securely access your health record.
This allows them to have the necessary information about your medical background to help them identify the best way to help you. This information may include your medical history, medications and allergies.
Why is sharing important?
Health records about you can be held in various places, including your GP practice and any hospital where you have had treatment. Sharing your health record will ensure you receive the best possible care and treatment wherever you are and whenever you need it.
Choosing not to share your health record could have an impact on the future care and treatment you receive.
Parent or Guardian Signature
You will be asked to sign this form when you visit the practice and provide ID and proof of address and a birth certificate of your Child.