The Generic Medical Records Request Form serves as a standardized template for requesting medical records from healthcare providers in England and Wales. This document is designed to ensure compliance with UK data protection legislation while streamlining the process of accessing medical information. It includes necessary fields for patient identification, scope of records requested, and authorization verification, incorporating requirements from the Data Protection Act 2018 and UK GDPR. The form is particularly useful when individuals need to access their medical records for personal use, legal proceedings, or insurance purposes.
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1. Patient Information: Full name, date of birth, NHS number, current address, and contact details of the patient whose records are being requested
2. Request Details: Specific information about the medical records being requested including date range, type of records, and format preferred
3. Purpose of Request: Statement of why the records are being requested (e.g., continuing care, personal records, legal proceedings)
4. Data Protection Notice: Information about how the requested data will be processed and protected under UK GDPR and Data Protection Act 2018
5. Declaration: Formal statement confirming the accuracy of information provided and understanding of the process
1. Requestor Information: Details of person making request if different from patient, including relationship to patient and basis of authority to request
2. Capacity Statement: Required when patient lacks capacity under Mental Capacity Act 2005, including details of assessment and authority
3. Urgent Request Details: Section for indicating if expedited processing is needed and justification for urgency
4. Deceased Patient Information: Additional section required when requesting records of deceased patients under Access to Health Records Act 1990
1. Schedule 1: Identity Verification Requirements: List of acceptable forms of ID and verification requirements
2. Schedule 2: Fee Schedule: Details of any applicable fees for different types of requests and payment methods
3. Schedule 3: Third Party Authorization Form: Template form for authorizing third party access to medical records
4. Schedule 4: Guidance Notes: Detailed instructions on completing the form and relevant legislative requirements
Relevant legal definitions
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