Pemberton Surgery

01942 367199

Subject Access Request Form

This Practice respects the rights of individuals to have copies of their information wherever possible. This form is not a mandatory requirement however completing it will help us to process your request more efficiently.

Personal information collected from you by this form, is required to enable your request to be processed, this personal information will only be used in connection with the processing of this Subject Access Request.

Charges Payable: In accordance with legislation no fee will be charged for your request, unless the request is manifestly unfounded or excessive, particularly if it is repetitive. Before any further action is taken, we will contact you with details of our “reasonable administrative charges” in order to comply with your request.