Clinical Records

Summary Care Records (SCR)

Your Summary Care Record (SCR) is an electronic record containing information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.

Why do I need a Summary Care Record?

Having all of your information held in one place helps all healthcare staff at your practice or those who may help you during an emergency.  This will help aid decisions made about your medications, any allergies or reactions you may have with certain medications.

Who can see it?

Only healthcare staff involved in your care can see your Summary Care Record. 

Do I have a Summary Care Record?

Please ask your GP if you have a Summary Card Record (SCR).

Can I opt out?

Its not compulsory too have a Summary Card Record (SCR), you can choose to opt out of the scheme.  Please let your practice know and they will ask you to complete a form.

For more information please click on the link http://www.hounslowccg.nhs.uk/about-us/patient-record.aspx

Updating your Clinical Records

Please use this form to update your Clinical Records with West4GPs. When you have filled in the form click the submit button.

Fields marked with * must be completed

CONTACT DETAILS

Name *

Address Line 1*

Address Line 2

Postcode*

Date of Birth [dd/mm/yyyy] *

NHS Number

Home Phone

Mobile Phone

Email

 


MEASUREMENTS

Height

Weight

Waist

BLOOD PRESSURE

Systolic

Diastolic

 


SMOKING

Have you ever smoked?

If 'Yes', please answer the following:

Do you smoke now?

If 'Yes' how many do you smoke each day?

If 'No' when did you quit?

There are plenty of options available to help you quit. Is this something you would like us to contact you about?

 


ALCOHOL

(1 drink = 1/2 pint of beer or 1 glass of wine or 1 single spirits)

MEN: How often do you have EIGHT or more drinks on one occasion?
WOMEN: How often do you have SIX or more drinks on one occasion?

 


OTHER INFORMATION

Are you a Carer?

If 'Yes', please provide the following information:

Caring Details

Permission Date

Relationship


Are you allergic to any medications? (Please specify)

What is your ethnicity?

What is your first language?

 


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About This Form

Thank you for agreeing to help us keep our records current and accurate. Please fill in all of the appropriate fields and click ‘Submit’. The symbol * indicates a compulsory field.

Note: By using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your information.

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.