Sharing your medical record Sharing your medical record with other NHS organisationsPosterngate Surgery automatically share your medical record with other NHS organisations. This is so that all those involved in your care have access to your record. If you do not wish for this data sharing to be allowed, please complete the form. Opting Out – Sharing out your medical record with other NHS organisationsSharing out means that any information within your Posterngate Surgery medical record (all consultations, results, medication etc.) will be available for other NHS organisations to see if you allow them to.Sharing Out Declaration I do not wish to share my medical record with other NHS organisations OptionalOpting Out – Sharing in your medical record with other NHS organisationsSharing in means that Posterngate Surgery will be able to see all information added by other healthcare organisations. This will only happen if you have consented to share information out at the other organisation.Sharing In Declaration I do not wish Posterngate Surgery to be able to see information on my medical record added by other NHS organisations OptionalYour Name First Last Date of Birth DD slash MM slash YYYY Address Street Address Address Line 2 City ZIP / Postal Code SignatureDate DD slash MM slash YYYY