These Practice Information Forms include a) Health Questionnaire, b) Consent for receiving SMS Text Messages, c) Application for Online Services and d) Electronic Prescription Service).
Here is an easy-read version. (which you can email to us at patient.willowtreefamilydoctors@nhs.net).
Lastly: For Online Access you will also need to demonstrate photo ID - this is a security requirement and you can email it or do it when we see you later (Citizen ID will save this requirement in future).
You will then be offered a New Registration Health Check appointment with one of our nurses (or doctor if you take repeat prescriptions or have complex medical needs for everyone over the age of 5yrs. This enables us to record important details, to assess your health needs and start planning your medical care at Willow Tree Family Doctors.
When you attend for this health check, please bring a urine sample (collect a urine sample bottle from reception) and the immunisation records (Red Book) of your children and any medication you are taking. If you have not already done so you will be invited to complete the forms above.
If you scored 5 or more on the Audit-C above, it would be helpful for you to complete this more detailed Audit-10 questionnaire to see if you are drinking safely or need to cut down. Send it to us and we can discuss with you whether any tests or advice are needed to protect your health.
ALSO FOR CHILDREN UNDER 5yrs:
In addition we need a copy of the Birth Certificate and immunisations record (copy of Red Book pages). If you cannot produce this information we shall register your child as a temporary resident until you provide it.
ALSO FOR CHILDREN FROM ABROAD:
Also we are required to have proof of address. You need to provide the immunisation record.
If you prefer to use a more registration manual process, please complete a GMS-1 registration form and then email it to the practice
or if you can download for manual completion, one is available here and a large print version for printing.
SUMMARY CARE RECORD
The Summary Care Record is automatically created and contains some basic information including regular medication and allergies and adverse medication reactions. You can OPT OUT of sharing your Summary Care Record with other health professionals (however this is very useful eg. if you are incapacitated after an accident)
You can EXPRESS CONSENT FOR ADDITIONAL INFORMATION to be added, such as signifiant illnesses, vaccinations, personal care preferences and next of kin.
Click here more information and Opt In/ Out form to email to the practice.
OPTING OUT OF SHARING YOUR PERSONAL HEALTH INFORMATION
Essential personal health information is shared between healthcare professionals when giving you personal medical care. It is potentially dangerous to treat you without background information and this is why it is automatic. There are strict rules around this sharing (see our Medical Records page) and you will be asked if you are happy to share at the point of care.
However, you can OPT OUT of sharing your personal health data for research and planning ('secondary use') by completing this NHS web-form .
Organ donation is now automatic. If you do NOT wish to donate any organs or tissue after death, you will need to OPT-OUT. You can fill this NHS form to opt out
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