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Medical Records Access Request

A completed UK GDPR right-of-access request for GP and hospital records, specifying scope, identity evidence, format and the one-month response framework.

Jurisdiction: England and Wales - completed fictional worked example

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Important: This sample provides general legal information only and is not legal advice. Check the law, prescribed forms and signing requirements that apply to your exact jurisdiction and circumstances before use.

# MEDICAL RECORDS ACCESS REQUEST

Date: 12 September 2029

Parties: Aisha Rahman and North Bristol NHS Trust

## 1. People, purpose and legal route

To the Data Protection Officer, North Bristol NHS Trust, Information Governance Team, Southmead Road, Bristol BS10 5NB: I, Aisha Rahman of 33 Elm Street, Bristol BS3 4LT, make this subject access request under Article 15 UK GDPR. My date of birth is 14 May 1986 and NHS number is 487 221 9031.

## 2. Facts, scope and supporting evidence

Please provide copies of my Trust records from 1 January 2023 to the date of your response, including clinical notes, referral and discharge letters, test results, imaging reports, medication records, appointment notes and correspondence that identifies me. This request concerns my cardiology admission from 3 to 8 August 2029 and related GP referrals.

## 3. Requests, duties and safeguards

Please search the electronic patient record, scanned correspondence and relevant archived record. I prefer secure electronic PDF delivery, with a separate explanation if any record is withheld or redacted. This request is for access, not a demand that the clinical record be altered; I will make a rectification request separately if necessary.

## 4. Records, review and communication

I enclose a certified copy of my passport and council-tax letter showing my address. Please tell me promptly if further reasonable identity or authority evidence is needed. The Trust should process the request lawfully, protect third-party confidentiality and explain any exemption relied upon.

## 5. Time limits, escalation and outcome

Please confirm receipt and respond without undue delay and in any event within one month of receiving the necessary information, subject to any lawful extension for a complex request. If the records are held by my GP rather than the Trust, please identify the controller and forward or clarify the correct route.

## 6. Reservations and practical protections

If I disagree with a withholding or delay, please provide the internal review and complaints route and tell me how to complain to the Information Commissioner's Office. Nothing in this request waives confidentiality, clinical safety or any separate access, rectification or litigation right.

## 7. England and Wales law and signature

Please use a secure portal or post the records to the address above; email is permitted only if encrypted or otherwise secure and should be treated as an alternative service method. Yours faithfully, Aisha Rahman.

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