Opt out form
We ask you to think carefully before opting out of this scheme. Sharing your health and social care information will make it easier for services to provide the best treatment and care for you. There is information on this website about why this is so important.
We need your NHS number to process your request
If you don’t know your NHS number please visit: www.england.nhs.uk/contact-us/how-can-we-help/ how-can-i-find-out-my-nhs-number/ or ask your GP practice.
Please download our opt-out form and either print it and complete it using a pen, or complete it on your computer as a form. The form requires your signature.
How to return the form
To return the form please put it in the post, using the FREEPOST address provided. FREEPOST NLP – JOINED UP CARE RECORD
Please DO NOT email the form to us once you have completed it as your personal email address may not be a secure way to send personal information.
You will receive confirmation on receipt of your request. Please contact us if you would like to check this or do not receive this.
Email address for enquiries and questions: email@example.com