Type 1 opt-out
Type 1 PDF format or Type 1 Word format. Click on the links to download the form. Once completed please send the form to us. You can either hand it to the reception / surgery letter box or email it to [email protected]. We will then scan this into your medical records.
Type 2 opt-out
- If it’s just for yourself, use NHS Digital’s online National Data Opt-out process – this process only works for individuals aged 13 and over.
- If you have children under 13, you need to fill in this form [PDF] and e-mail or post it back to NHS Digital – this form works for both you and your children.
- If you have an adult dependant for whom you have legal responsibility, you must use this form [PDF] and send it back to NHS Digital on their behalf.