DATA SUBJECT ACCESS REQUEST

By completing this form, you are making a request under the General Data Protection Regulation (GDPR) for information held about you by the Practice that you are eligible to receive. 

By completing and signing below, you indicate that you are the individual named above.  The Practice cannot accept requests regarding your personal data from anyone else, including family members. We may need to contact you for further identifying information before responding to your request.  You warrant that you are the individual named and will fully indemnify us for all losses, cost and expenses if you are not.

Please allow one calander month for a reply.  If you state you require within this period, we will endeavour to meet this request, however, it is not guaranteed. 

We will contact you once your request has been actioned.  If you require someone else to collect your information then we will ask for security information and ID for the individual also.