Online Forms

Third Party Authorisation forms

A Third Party Authorisation form is a document gives the patient’s authority for a third party to have access to their medical records, personal details and to liaise with the surgery on the patient’s behalf.

Third Party Authorisation forms must be printed and signed then either scanned and emailed to us on kmcccg.stjamesreception@nhs.net or you can drop the forms down to the surgery or you can post them to us.

Once received, the forms are added to the patients notes.

Consent form - Third party Authorisation for access to medical records..docx