Subject Access Request

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Please note

  • West Hampstead Medical Centre will normally respond to a Subject Access Request within one calendar month of receipt.
  • This period will not commence until the West Hampstead Medical Centre is satisfied as to the identity and authority of the applicant.
  • West Hampstead Medical Centre may seek further information from the applicant as to the specific information requested.
  • Any request for clarification will suspend the one calendar month period until the required information is received. 
Personal Details of the person completing this form
Please double check you've entered the correct email address
May be used to identify you
Data Subject

Please give details as to the information you would like to review:

Include the date range(s) for the information held (approximate dates are acceptable):


Documents Requested

Please tick the data that you require access to:

Details of Data Subject (Patient)

If you acting on behalf of the Data Subject with their written authority must be uploaded

  • A signed letter of authorisation from the data subject consenting that the solicitor can act on their behalf or Lasting Power Attorney.
Access to Data

In line with the NHS ambition to become Paper-free by 2020 we routinely provide access to data electronically. We encourage patients to access this information through the Patient Access App Platform/App like the NHS app (website or mobile phone app) as it provides access in an easily navigated, accessible format. It also provides access to new data as / when it is added to the dataset. Alternatively the record can be provided electronically (consultations and investigations in PDF format, documents in TIFF format) through e-mail however if requesting a significant amount of data this may require multiple separate e-mails and the data set provided may well prove more difficult to navigate. Information sent via e-mail is encrypted while travelling on the secure NHS network but will travel unencrypted through the rest of the internet. We cannot be held responsible for the confidentiality / security of the data sent via e-mail once it leaves the NHS network.

The General Data Protection Regulation (GDPR) prohibits organisations charging for access to data unless the request is considered excessive, unfounded or repetitive. Printed copies of small data sets (e.g. single copies of specific clinic letters or results) will not fulfil these criteria. Printed copies of entire medical records may be considered excessive / unfounded given the ambition of the NHS to be paper-free. In any cases where the practice considers the request excessive, unfounded or repetitive further discussion will occur before the dataset is prepared and any fees payable. 

Proof Of Identity of the Data Subject (Patient)

Please provide the following proof of Identity of the Data Subject (Patient):

  • Driving licence or, Passport or birth certificate of the data subject.
  • Proof of address, e.g. a utility bill (no longer than 3 months old) of the data subject.

Privacy Consent

This form collects personal and medical informanot tion about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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