Font Size:
Alvaston Medical Centre
Alvaston Medical Centre 14 Boulton Lane Alvaston Derby DE24 0GE
Tel: 01332 755990
Fax: 01332 861601 or 01332 758403
Out of Hours: 111
Check out our News page for all the latest information. Alvaston Medical Centre will close today (4th May 2018) at 6:30PM and reopen as normal on Tuesday 8th May at 8:00AM. If you have an URGENT medical query over the bank holiday weekend, please call 111. In case of a medical EMERGENCY, call 999.

Summary Care Record

Your Summary Care Record will contain important information about any medicines you are taking, allergies you suffer from and any bad reactions to medicines that you have had.

Giving healthcare staff access to this information can prevent mistakes being made when caring for you in an emergency or when your GP practice is closed.

Your Summary Care Record will also include your name, address, date of birth and your unique NHS Number to help identify you correctly.

You may want to add other details about your care to your Summary Care Record. This will only happen if you ask for the information to be included. You should discuss your wishes with the healthcare staff treating you.

Click here to view a leaflet containing more information.

You can choose not to have a Summary Care Record. You need to let your GP practice know by filling in and returning an opt-out form.

Click here to download an opt-out form. Alternatively, you can fill in the online opt-out form below.

NOTE: You can save your details and automatically populate this form by creating an account.
Click here to create an account or login.

Summary Care Records Opt-Out Form

Summary Care Records Opt-Out Form

This online form is for you to request that your clinical information be withheld from the Summary Care Record.

  • Section A

  • / /
    Pick a date.
  • If you do not have a home telephone number please enter your main contact telephone number here instead.

  • Section B

    If you are filling out this form on behalf of another person or child, their GP practice will consider this request. Please ensure you fill out their details in section A and your details in section B.

  • / /
    Pick a date.
print this page