Consent Forms

Consent Form

If you wish to provide consent for a representative to access test results and/or discuss your medical information on your behalf please download and fill out the below form and return to the practice. 

Petersfield Medical Practice consent.docx

Consent Form

If you wish to provide consent for a representative to access your online medical information on your behalf please download and fill out the below form and return to the practice. 

Petersfield PROXY access form.docx

Page last reviewed: 03 February 2026
Page created: 03 February 2026