Type 1 opt out form


You can choose whether your confidential patient information is used for research and planning. To find out more visit https://www.nhs.uk/your-nhs-data-matters/ 

You do not need to do anything if you are happy about how your confidential patient information is used. You can change your choice at any time.

Type 1 opt-out: medical records held at your GP practice

You can also tell your GP practice if you do not want your confidential patient information held in your GP medical record to be used for purposes other than your individual care. This is commonly called a type 1 opt-out. This opt-out request can only be recorded by your GP practice.

Type 2 opt-out: information held by NHS Digital

Previously you could tell your GP practice if you did not want us, NHS Digital, to share confidential patient information that we collect from across the health and care service for purposes other than your individual care. This was called a type 2 opt-out.

The type 2 opt-out was replaced by the national data opt-out. Type 2 opt-outs recorded on or before 11 October 2018 have been automatically converted to national data opt-outs.

Read more about the collection and conversion of type 2 opt-outs. https://digital.nhs.uk/about-nhs-digital/our-work/keeping-patient-data-safe/how-we-look-after-your-health-and-care-information/your-information-choices/how-opt-outs-work 

How to find your NHS number

https://www.nhs.uk/find-nhs-number/what-is-your-name 
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First Name *
Surname *
Date of Birth *
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DD
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YYYY
NHS Number *
I  give notice that I refuse consent for my identifiable information to be transferred from my GP practice systems for any purpose other than my medical care. Please record my dissent by  adding the ‘Dissent from secondary use of GP patient identifiable data’ code to my records. *
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