Register your Type 1 Opt-Out Preference

We have been asked to share the following important information with you.

This practice is supporting vital health and care planning and research by sharing your data with NHS Digital. For more information about this see the GP Practice Privacy Notice for General Practice Data for Planning and Research (www.digital.nhs.uk – General Practice Data for Planning and Research (GPDPR)).

This collection will start on 1 July 2021. If you do not want your data to be shared with NHS Digital please register your Type 1 Opt Out with your GP practice by September 2021.

Register your Type 1 Opt-Out Preference

Patient Details

Are you completing this form on behalf of: *
Any responses we send will go to this email address.

Your Decision

Please select one of the folowing: *

Your Declaration

I confirm that:

  • The information I have given in this form is correct
  • I am the parent or legal guardian of the dependent person I am making a choice for set out above (if applicable)