The information you have provided will be used by NHS Scotland to carry out its various functions and services including scheduling
appointments, ordering tests, hospital referrals and sending correspondence.
Your information, including your name, gender, date of birth and address, will be passed to NHS National Services Scotland where it
will be held on the Community Health Index (CHI). This information is used to register you with the GP Practice, transfer your
medical records between GP practices in the UK, make payments to GP Practices for medical services provided, and to process and
issue medical exemption certificates and entitlement cards.
NHS National Services Scotland shares information about you within NHSScotland to assist in the provision and improvement of
NHS services and the health of the public. When we do this, we do it as described by NHS Scotland in the NHS Inform website
under the “How the NHS handles your personal health information” section.
NHS Scotland is made up of various organisations such as NHS Health Boards, GP practices, the Scottish Ambulance Service or
NHS National Services Scotland (the common name of the Common Services Agency for the Scottish Health Service). These
organisations are individually responsible for your personal health information. In terms of data protection and privacy laws, they are
known as 'data controllers'.
Find out more about NHS Scotland in the link provided above.
I declare that the information I have given on this form is correct and complete. I understand that, if it is not, appropriate action may be taken. To
enable NHS National Services Scotland to confirm my eligibility to lawfully register with a GP and for the purposes of prevention, detection, and
investigation of crime, the minimum necessary information from this form could be disclosed to relevant authorities.
I understand that more comprehensive information about how NHS Scotland handles my data is available from NHS Inform.
This information can be provided in other languages and formats on request. The NHS inform helpline provides an interpreting service.
I accept this patient onto the practice list and declare that, to the best of my knowledge, this information is correct. I acknowledge that the details
may be authenticated from appropriate records, and that payments generated from this patient registration will be subject to Payment Verification.