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The Grange Surgery Consent to proxy access to GP online services for patients 16yrs and over Note: If the patient does not have capacity to consent to grant proxy access and proxy access is considered

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How to fill out consent to proxy access

01

Obtain the consent form from the organization or healthcare provider.

02

Fill out the patient's name, date of birth, and contact information.

03

Fill out the proxy's name, relationship to the patient, and contact information.

04

Sign and date the form.

05

Submit the completed form to the organization or healthcare provider.

Who needs consent to proxy access?

01

Anyone who wants to access the patient's medical records or information on their behalf.

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What is consent to proxy access?

Consent to proxy access is a form authorizing another person or entity to vote on your behalf in corporate shareholder meetings.

Who is required to file consent to proxy access?

Shareholders who are unable to attend shareholder meetings in person and wish to have someone else vote on their behalf are required to file consent to proxy access.

How to fill out consent to proxy access?

To fill out consent to proxy access, you must provide your personal information, specify the individual or entity you are authorizing to vote on your behalf, and sign the form.

What is the purpose of consent to proxy access?

The purpose of consent to proxy access is to ensure that shareholders who are unable to attend meetings can still have their votes counted by having a proxy vote on their behalf.

What information must be reported on consent to proxy access?

The information required on consent to proxy access includes the shareholder's name, contact information, the individual or entity authorized to vote on their behalf, and any specific instructions for voting.

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