Do you have the conginitve capacity to make their own decisions, but have difficulty communicating or just feel more comfortable having someone else who can talk to your doctor or nurse on your behalf? You can fill in the form linked below to give your consent for the person(s) you nominate to discuss your personal medical information with the Practice.

As it deals with confidential information being shared outside the Practice we do require a signature on the form. You can access the PDF below. Once completed it can be mailed or brought into the Practice, or if you have the ability to scan it, you can upload it to us using our upload form.