Request under Access to Health Records Act 1990

There may be a charge for this information.

To find out how we use this information, our security and your rights visit our privacy page.

You will see a thank you page once the form has been submitted. If you do not see this page then you have overlooked to complete some of the required fields. Please check the form, complete the missing details and resubmit. Thank you.

Are you considering a claim against Medway Community Healthcare?
I wish to view the health records with an appropriate member of staff:
I require photocopies of the requested health records:
5. Delaration: