Register your Type 1 Opt-Out Preference

If you do not want your data to be shared with NHS Digital please complete this form to register your Type 1 Opt-out with your GP practice by 23 June 2021.

Register your Type 1 Opt-Out Preference

Patient Details

Are you completing this form on behalf of: *
Any responses we send will go to this email address.

Your Decision

Please select one of the folowing: *

Your Declaration

I confirm that:

  • The information I have given in this form is correct
  • I am the parent or legal guardian of the dependent person I am making a choice for set out above (if applicable)