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Mental Health Records Request Form
"I need a Mental Health Records Request Form for obtaining my brother's records from St. Mary's Hospital, where he was treated between January-March 2025, and I have Power of Attorney documentation to support this request."
1. Personal Information: Basic details of the person requesting records including full name, date of birth, NHS number, and contact details
2. Request Details: Specific information about what records are being requested, including time period and type of records
3. Identity Verification: Requirements for proving identity of the requestor
4. Declaration and Consent: Legal declaration confirming right to access and consent to process the request
1. Third Party Authorization: Section for when someone other than the patient is requesting records, including authority verification and relationship to patient
2. Specific Requirements: Section for format preferences and special requirements for receiving records
3. Urgent Request Details: Section for providing justification for expedited processing of the request
1. Identity Verification Requirements: List of acceptable forms of ID and verification processes
2. Fee Schedule: Details of any applicable fees for certain types of requests
3. Privacy Notice: Information about how the request data will be processed
4. Guidance Notes: Instructions for completing the form and understanding the process
Authors
Authorized Representative
Capacity
Data Controller
Data Protection Officer
Data Subject
Healthcare Provider
Mental Health Records
Next of Kin
Patient
Personal Data
Power of Attorney
Relevant Period
Requestor
Responsible Clinician
Sensitive Personal Data
Special Category Data
Subject Access Request
Third Party
Treatment Record
Data Subject Rights
Identification Requirements
Record Access Scope
Confidentiality
Third Party Authorization
Consent
Data Protection
Processing Timeframes
Access Restrictions
Fees and Charges
Record Format
Verification Process
Disclosure Limitations
Request Processing
Privacy Notice
Declaration
Authority to Act
Healthcare Provider Rights
Safeguarding
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