Opt out of Care Data

1Opt out of Care Data

I am writing to decline my consent for my identifiable patient information to be transferred from your Practice for any purpose other rhan my medical care. Please code my records accordingly.

I do not wish my clinical data to be extraced electronically from this GP practice. Please add the code 9Nu0 'Dissent from secondary use of GP patient identifiable data' to my medical records.

I am aware of the implications of this request and understand that it will not affect the care I receive. I will notify you should I change my mind.

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

© Dordon and Polesworth Group Practice 2017
Dordon Surgery - 162 Long Street, Dordon, Tamworth, Staffordshire, B78 1QA
Polesworth Surgery - High Street, Polesworth , Tamworth, Staffordshire, B78 1DU
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