LAIRD, Brian (Mr) 
50 Kinross Street
Burnley
Lancashire
BB11 4DP 

9 June 2026 
Your NHS Number is: 633 040 5913 

Dear Brian 

Re: Request for copies of medical records

We are writing to you because we have received a request from a third party for a copy of your medical record – this is called a Subject Access Request (SAR). You will probably have signed a consent form allowing the company to request this information from us.  

The rules surrounding access to patient records have changed and we need to make you aware that you have a number of options to choose from when a SAR is made.  Whichever option you choose, we will be providing the data directly to you and not to the third party who made the request; please inform your solicitor of this.

Please read the following options carefully and then decide how you would like to proceed with this SAR.

Option 1
You can register for online access to your medical record.  All of the data held in electronic format, including hospital letters and results will be accessible to you.  You can then decide which information to share with a third party – not all of your medical record will be relevant to your case.  To register for online access, you need to come into the surgery, with the enclosed form completed and one form of photo ID.  If you’re receiving this letter electronically and don’t have access to a printer we will print the online access form for you at the surgery.

Option 2
You can request a Targeted Subject Access Request (TSAR).  This means that we will provide you with a copy of relevant information such as A&E attendance for a specific event, rather than your complete record dating back to birth.

Option 3
You can request a full copy of your medical record.

Options 2 and 3 can be provided in paper or electronic format.  Electronic is much quicker and is less of a drain on the resources of the NHS.

If however you choose to have paper copies of your medical record we will let you know once we have them ready for you and you will need to collect them, in person, from the surgery.  We will need to see some form of photo ID and you will need to sign for them before we release them to you.

Future SARs
There are specific rules that cover repeated subject access requests that we need to make you aware of.

•	If you have chosen option 2 or 3 on this occasion, you will already have been provided with a copy of your records, any repeated SARs will generally only cover additional information added to your record since the date of the last request. 
•	Any request for a further copy of full or partial records will be subject to an administration charge, up to £150.
 
You now need to tell us how you want to proceed by completing the slip below and returning it to the surgery.  Please be aware that no action will be taken towards processing your request until we have received this form back from you.

Yours sincerely

Burnley Group Practice 

Please return this form to the practice as soon as possible to avoid delaying in processing.

Name of patient: LAIRD, Brian Thomas (Mr) 			Date of Birth: 27-Dec-1972 
					
Address: 50 Kinross Street, Burnley, Lancashire, BB11 4DP 

Please place a tick in the (   ) only tick the option you would like the practice to undertake:

(    )   Option 1:
I would like to register for online access to my medical record and will come to the surgery with one form of photo ID to complete the necessary forms.

(    )  Option 2:
I would like to request a Targeted SAR and I ask that you provide me with a copy of my electronic medical record; Please specify the information you require below:

•	i would like a copy of records between specific dates only (please give date range) below:

•	i would like copy records relating to a specific condition/specific incident only (please Detail below):

(   )  Option 3:
I would like a full copy of my medical record including all paper held records.  I understand that this will take longer to process. Unless you specify otherwise these will be sent to you electronically

Signed: ………………………………………………		

Name: ………………………………………………….

Date: ………………………………………………..

My email address is: brazzerbraz121@gmail.com (please update if incorrect)

My Mobile number is: 07907514936 (please update if incorrect)