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THE WELLINGTON PRACTICE Registration Form Access to GP Online Services PROXY ACCESS For children aged 11 15 1) PATIENT DETAILS Surname:Date of birth:First name:Age:Address:Postcode: Telephone number:Children
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How to fill out proxy access to gp

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How to fill out proxy access to gp

01
Obtain the proxy access form from the healthcare provider's office.
02
Fill in the patient's name, date of birth, and other required information on the form.
03
Provide your contact information and relationship to the patient.
04
Sign and date the form as the proxy requesting access.
05
Submit the completed form to the healthcare provider's office.

Who needs proxy access to gp?

01
Individuals who are appointed by a patient to make medical decisions on their behalf.
02
Family members or friends who need to access the patient's medical records or communicate with healthcare providers.
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