Subject Access Request

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Personal Details
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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 and (where applicable) the dates:

Details of Data Subject
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 system (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. Please indicate if you wish to access your data:

Patients who do not have access to a computer or the internet are welcome to use the tablet computer in the waiting area to access their data through the Patient Access system. 


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 and when electronic access and free use of an electronic device has been offered. 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. If you have not requested above for your access to be via Patient Access or e-mail and wish to have your data in paper form please tick here: 

Any fees for “excessive, unfounded or repetitive” requests will be clarified before printing occurs. 

Proof Of Identity

Please provide the following proof of Identity and authorisation from the Data Subject:

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

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. 

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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