Declarations for medical records access

Please review the statements below and confirm your agreement before submitting your request:

• I will be responsible for the security of the information that I see or download.
• If I choose to share my information with anyone else, this is at my own risk.
• I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement.
• I acknowledge that the practice is not responsible for the content, accuracy or completeness of any medical record entries created prior to my registration. These records were entered by previous healthcare providers and, by proceeding, I accept access to this historical information on this basis.

Please tick the box below to confirm that you have read and agree to the statements above.