Riverside Surgery Tamworth

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BBC Health News

Whorlton Hall: Hospital abuse missed despite at least 100 official visits23 May 2019 17:10Inspectors, council staff and NHS officials went in twice week on average in the year before Panorama expose.
Two female loos for every male one, experts recommend23 May 2019 01:21With more urinals than cubicles, men - unlike women - rarely queue, a report says.
Colluding drug firms 'cost the NHS millions of pounds'23 May 2019 09:09The competition regulator says that four drugs firms forced the price of an anti-nausea tablet up by 700%.
Aspirin 'safe' for brain-bleed strokes22 May 2019 11:12Patients can take aspirin without raising their risk of another stroke, a study suggests.
I lost my arms and legs - stop it happening to others22 May 2019 01:06Sepsis survivor Tom Ray wants better awareness and faster diagnosis of the potentially deadly disease.
'Broken' care system for most vulnerable21 May 2019 02:19Patients with mental health problems, autism and learning disabilities are being let down, a report says.

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Patient online triage

Summary Care Record Opt-Out Form

Request for my clinical information to be withheld from the Summary Care Record

If you DO NOT want a Summary Care Record, please complete this form. If you are completing this form on behalf of another person or child, please ensure you provide their details in section A and your details in section B.

1 Patient's Details

Titleplease specify

First Name(s)

Surname

Home Address

Postcode

Telephone Number

NHS Number (if known)If you know your NHS Number, please provide it

Date of BirthPlease provide in the format DD/MM/YYYY

2 Carer's Details

First Name(s)

Surname

Relationship to patient

Further Information

What does it mean if I DO NOT have a summary health care record?

NHS healthcare staff caring for you may not be aware of your current medications, allergies you suffer from and any bad reactions to medicines you have had, in order to treat you safely in an emergency.

Your records will stay as they are now with information being shared by letter, email, fax or phone.

If you have any questions, or if you want to discuss your choices, please phone the Summary Care Record Information Line on 0300 123 3020; contact your local Patient Advice Liaison Service (PALS); or contact the practice.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to
Riverside Surgery Tamworth • 41 - 42 Balfour, Tamworth, Staffordshire, B79 7BH.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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Your Neighbourhood Professionals. Just a Click Away!

41 - 42 Balfour, Tamworth, Staffordshire, B79 7BH

Telephone 01827 666 76
Email riverside.surgery@nhs.net

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