Submit your data request online

Submit your data request online

You can send us your completed request form and identity documents online using this form.
Do you agree to using JotForm (a GDPR complaint) service to transmit this data to us securely?*

Yes, I consentNo, I do not consent
If you do not consent, please post or deliver your documents to us instead.

Request form upload
Please download (unidocs.co.uk/obtaining-medical-records) and complete a copy of the appropriate subject access request form.

We need you to sign that form with ink, otherwise your request will be rejected.

Please then upload your form.
Upload completed request form:*

Browse Files

Cancelof

Identity document upload
We must confirm that we are supplying personal information only to the person entitled to have access to it.

In order to do that, please send us your identity document from the following list.
What form of identity document are you submitting:*

PassportPhoto driving licenceGovernment photo identity cardBirth certificate (child under 16)Court order documents (child under 16)
Upload identity document*

Browse Files

Cancelof

Address document upload
We must confirm that we are supplying personal information only to the person entitled to have access to it.

In order to do that, please send us a proof of your address from the following list.
What proof of address are you submitting:*

Bank statement (less than three months old)Credit card statement (less than three months old)Council tax statment or letter (less than three months old)Student Loans Co correspondence (less than three months old)Water bill (less than three months old)Electricity bill (less than three months old)Gas bill (less than three months old)Phone bill (less than three months old)TV licence bill (less than three months old)
Upload address document:*

Browse Files

Cancelof

About you