Summary Care Record Opt Out

Use this service to opt out of your summary care record.

Your summary care record includes details of any medicines you are taking, any allergies you suffer from and any bad reactions to medicines that you have had.

It also includes your name, address, date of birth and your unique NHS number to help identify you correctly. Additional information can also be added to your summary care record.

Who are you completing this form for?
For example, on behalf of a child or dependent
What is your name?
DD slash MM slash YYYY
What is your sex?
As recorded on your medical record
What is your postcode?
Anyone else with access to your email account may see responses sent to you
Do you wish to have a Summary Care Record?