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Subject Access Request - SAR Form

General Data Protection Regulations 2016 – Subject Access Request

We recommend that Patient Online Access is an easy and up to date way of you accessing your health records here at the practice.  If you prefer not to view your health record online, please follow information and instructions below.

The General Data Protection Regulations (GDPR) 2016 provides you, the data subject, with a right to receive a copy of the data/information we hold about you. Please complete this form if you wish to see your data. You will also need to provide proof of your identity. Your request will be processed within 30 calendar days upon receipt of a fully completed and signed form and proof of identity.

Proof of identity: (REQUIRED)*

We require proof of your identity before we can disclose personal data. Proof of your identity should include a copy of two documents such as your birth certificate, passport, driving licence, official letter addressed to you at your address e.g. bank statement, recent utilities bill or council tax bill. The documents should include your name, date of birth and current address. If you have changed your name, please supply relevant documents evidencing the change.

Administration fee:

If the request is considered to be “manifestly unfounded or excessive or would take disproportionate effort ( as per Article 12 of the GDPR)” we reserve the right to charge a fee. In most cases the standard Subject Access Request is free of charge as requested by the patient initially.  Firstly our recommendation is that patients apply for Patient Access so they can view their records at any time, this is a dynamic record. Secondly our default to SAR is to provide this in electronic format to the patient, unless otherwise specifically requested. Any subsequent requests for the same information will incur a fee.

Form for making Subject Access Request (SAR): Please print the form below and complete it fully when requesting a copy of your record under SAR request. Please make sure that you provide ID as per the requirements above before collecting the documents.

  1. SAR Request Form (PDF, 806KB)

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Swanwood Partnership

Applewood Surgery, Wickford Health Centre, Market Avenue, Wickford, SS12 0AG

  • 01268 562444
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