Lincoln House Surgery

Lincoln House Surgery

163 London Road, Apsley, Hemel Hempstead, HP2 7AB

Current time is 09:36 - Sorry, we're currently closed. Please call NHS 111

NHS

Telephone: 01442 254 366

When the practice is closed please dial 111 For emergencies dial 999

Access to Detailed Coded Medical Records

Patient Request and Consent form

If you would like to have a secure online access to your records, we need to make sure that you understand what this involves and that you are happy for us to use the information about you (provided below) to set up and operate the service.

The following form will take you through the things you need to think about. By signing the form you will be giving us your permission to go ahead with setting up the service for you. If you decide not to join, or wish to withdraw, it will not affect your treatment in any way.

Detailed Coded Record Access - Request and Consent Form

Declaration (Please note that you will have to AGREE TO ALL. If you do not, access will not be granted)(Required)
Other considerations - Declaration (Please note that you will have to AGREE TO ALL. If you do not, access will not be granted)(Required)

Patient Details

Name(Required)
Date of Birth(Required)
YESNO - If NO , please also fill a Patient Online Access Form
Consent(Required)
This field is for validation purposes and should be left unchanged.

 

 

 

Opening Times

  • Monday
    08:00 until 18:30
    Doors open at 08:30am
  • Tuesday
    08:00 until 18:30
    Doors open at 08:30am
  • Wednesday
    08:00 until 18:30
    Doors open at 08:30am
  • Thursday
    08:00 until 18:30
    Doors open at 08:30am
  • Friday
    08:00 until 18:30
    Doors open at 08:30am
  • Saturday
    CLOSED
  • Sunday
    CLOSED