Proxy Access

Please choose from the link below to fill out your proxy access request online  Additionally, you can request to revoke any proxy access you have on your medical record by filling out the online Proxy Access Revocation Form.

Further information

Proxy access process 

Please be aware that there are cut off points for each age group. These are as follows:

0-11 (no verbal consent required and no form)

11-14

14-16

16-18

18-21

21+ (ongoing)

 

To allow proxy access to your online record the Practice will require the following:

  • Please be aware that all requests can take up to 30 days to process. This may take longer if GP needs to review the request.
  • A completed and signed proxy access form (to be completed by the Patient and representative)
  • Verbal consent from the patient to give the Proxy permission (a member of the team will contact the patient)
  • A form or online application is required to be completed, alongside verbal consent at each age group.
  • You will need to resubmit another request to continue to enable proxy access after every cut off anniversary