Would you like us to register your next of kin on your medical records? If so please complete the form below and return to the health centre.
Please remember we would only contact your next of kin in an emergency situation or if requested by the ambulance service/hospitals etc if they need to update someone about your medical treatment or care.
If you would like a family member or close friend to have more access to your medical records and deal with your affairs on your behalf, please ask for a proxy consent form from reception. This form will enable you to stipulate who you consent to have access to all or part of your medical records.