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    • About you 
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    • Contact Details 

    • We only offer Home Visits within our Practice Boundary. If you live outside area you will need to come into the practice for an appointment. If you are unable to bring yourself to an appointment you will need to make arrangements with family or friends

      We cannot offer home visits outside our practice boundary. Please use the link below to review if you home address is within the area.

      Practice Boundary

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    • Next Of Kin 
    • Pronouns, Title & Preferred Name 
    • Type 1 Opt-out Preference 

    • The data held in your GP medical records is shared with other healthcare professionals for the purposes of your individual care. It is also shared with other organisations to support health and care planning and research.

      If you do not want your personally identifiable patient data to be shared outside of your GP practice for purposes except your own care, you can register an opt-out with your GP practice. This is known as a Type 1 Opt-out.

      Type 1 Opt-outs may be discontinued in the future. If this happens then they may be turned into a National Data Opt-out. Your GP practice will tell you if this is going to happen and if you need to do anything. More information about the National Data Opt-out is here: https://www.nhs.uk/your-nhs-data-matters/

      This decision will not affect individual care and you can change your choice at any time, using this form.

    • Military Veteran Status 
    • Carer Status 

    • It’s important to let us know if you are a Carer for someone. There are support services we could share with you and update you on the incentives available. If you are unsure of what defines a Carer please see the below definitions:

      •  An Adult Carer is someone who is caring for someone over 18 years and who might be struggling to manage caring alongside employment, or 'sandwich carers' caring for a disabled child as well elderly parents. This group of carers also includes older adults, often co-caring for one another
      • Young Adult Carers are young people aged 16–25. They may or may not be in education/ employment/ training and may be struggling to manage the transition of support for them/ family member as they turn 18.
      • Young Carers are under 18 and they might not fully understand their caring role and might be caring for a parent who has parental responsibility for them which can be a tricky dynamic.
      • Parent Carers provide support to their children, who have additional needs including illness, disability, or have mental health or substance misuse problems.

      More Support can be found at https://yorkcarerscentre.co.uk/

    • Reasonable Adjustments 

    • Reasonable adjustments in healthcare are changes to help people access care more easily. This can include:

      • Longer appointments if someone needs more time.
      • Accessible communication like large print, Braille, or an interpreter.
      • Physical changes such as ramps or accessible toilets.

      These adjustments make sure everyone gets the care they need in a way that works for them.

    • If you have amswered Yes we will send you a follow up questionnaire for more information.

    • Blood Pressure Readings 
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    • Height & Weight 
    • Smoking Status 
    • Change gender marker 

    • Here at York Medical Group we understand the significance of gender identity. Our aim is to make you feel welcomed, and offer you the best possible care. We know that for some patients, having a medical record that matches their gender identity is important. Gender transition is a personal journey, our staff will always respect your identity, whether you chose to update your records or not. Unfortunately GP practices do not have the ability to change gender markers ‘in-house’, however we will always be happy to raise the request on your behalf. If you are considering changing your gender marker, please be aware of the following:

       

      • At present, your existing records cannot be changed; instead you will be issued with a new NHS number.
      • NHS numbers are currently only available in binary format. We can request male or female only.
      • Once you let us know, we will raise the request on your behalf. These requests are processed by NHS Primary Care Support England (PCSE).
      • Unfortunately PCSE can take up to 4 months to process requests. We’ll be here throughout this time to support you.
      • When a new NHS number is issued, you cannot revert back to your original number. Should you wish to change again, a further number will be issued.
      • Your previous medical history will be attached to your new record as a ‘document’. We will always give you the opportunity to review these notes.
      • We are happy to redact information that relates to your sex at birth and/or deadname, if this is your preference.
      • Your regular medications will be added to your new record as a matter of urgency.
      • If you use the NHS App you will need to set this up again in your new NHS identity. 
      • It is important that you continue to attend screening appointments relevant to your sex at birth, and in relation to any surgeries that you may have had. If you think that you may have missed a recall, please let us know.
      • Should you wish to discuss any of these implications, or your gender generally, please do make an appointment. Our clinicians are happy to make referrals to Gender Identity Clinics/Services, if you would like this.
    • Complete - Compulsory 

    • Please sign to confirm that the information provided above is true. Signature must be that of the patient themselves, who in signing has consent for their medical records to be updated.

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