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Proxy Access

Register for online services on behalf of someone else

Introduction

What is proxy access? Proxy access refers to access to online services by somebody acting on behalf of the patient and usually with the patient’s consent. To obtain formal proxy access a person must register at the practice for online access to the patient’s record, though the proxy does not have to be a registered patient at the practice.

Full proxy access can be given to a parent or guardian who has legal responsibility for a patient under 11
Partial proxy access can be given to a parent or guardian who has legal responsibility for a patient between 11-16 and the patient has given consent.

 

What happens when my child turns 11?

  • Up until a child’s 11th birthday, the usual position would be for the parents of the child to control access to their child’s record and online services
  • Full access will automatically be switched off when the child reaches the age of 11, although online services, such as submitting online consultations/questionnaires, appointment booking and requesting medication will still be made available
  • This is a national standard imposed by NHS England to protect the confidentiality rights of young people

 

What happens when my child turns 16?

On the 16th birthday our system will automatically switch off all the remaining proxy access

 

 

Section 1 (to be completed by the patient)

This is automatically completed.

Section 2 (to be completed by the patient)

I wish to have access to

I wish to have access to:

Please be aware that some of the above services may not be available.

Section 3 (to be completed by the representatives)

I/We understand my/our responsibility for safeguarding sensitive medical information and I/we understand and agree with each of the following statements:

This is automatically completed.

Section 4 – The Patient (this is the person whose records are being accessed)

Please use the format day/month/year, for example 12/05/1979.

The Representatives

These are the people seeking proxy access to the patient's online records, appointments or repeat prescriptions. Representative 1 is required; Representatives 2 and 3 are optional.

Representative 1

Representative 1

Please use the format day/month/year, for example 12/05/1979.

Representative 1 relationship to patient

Relationship to patient

Representative 2 (optional)

Representative 2 (optional)

Please use the format day/month/year, for example 12/05/1979.

Representative 2 relationship to patient

Relationship to patient

Representative 3 (optional)

Representative 3 (optional)

Please use the format day/month/year, for example 12/05/1979.

Representative 3 relationship to patient

Relationship to patient

Verify your identity

For verification purposes, to complete your registration you will need to attach two forms of identification to the form below. One form of photo ID (passport, driving licence) and a copy of your child's birth certificate.

We accept jpg, png, gif, tiff, pdf, doc and docx files up to 20MB each.

Confirm your Location

Information provided by you through this form will allow us to improve our services. The form data undergoes encryption during transmission and while at rest, and will only be retained for a duration sufficient to process your request. You have the option to withdraw your request at any time by notifying the practice. By using this form you are agreeing to our privacy guidelines.

Send Your Request

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