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3rd Party Consent


Due to the laws of confidentiality The Westgate Practice must have written consent of your permission for anyone other than yourself to access your medical records. This includes carers and family members.


You can download our 'Patient Consent for Third Parties to Access Medical Records' form by clicking the link below. Once it is complete and signed, you can return it to us by:



    • Post to: The Westgate Practice, Greenhill Health Centre, Church Street, Lichfield, WS13 6JL

    • Give the form to reception at either the Greenhill or Shenstone site


    • Scan the completed and signed form and email it to us at






Please note that this document will remain on your record until you notify us to remove it. If any of the information changes please tell the practice.



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