Doncaster LMC – Useful Forms

IT / IG

Salaried GP Model Contract 2011
Data Protection Policy
Subject Access Request Practice Policy
Subject Access Request
Data breach response policy
Non disclosure agreement
CQC readiness reckoner
Confidentiality Clause
Organisational Standards Monitoring Tool
Police request accessess to records

Clinical

QiV consent Form 2018-2019
ICE Request Change Form
Fitness to fly
Bariatric Care
Gender Dysphoria
Neurology rejection for headache assessment
Requests for medical information related to firearms
Request for OTC meds for use in nursery or school
What happens when you are referred? (Patient leaflet)
Request to treat MRSA carrier pre operatively
Information for urgent referrals (Patient leaflet)
Medication stock shortages (Patient poster)
School attendance – GP attendance letter
Infant feeding guidelines
Notifiable disease – notification form

Palliative Care

Non syringe driver – Instruction to administer
Syringe Driver – Instruction to administer
Cremation Form 4
ReSPECT Form
Template End of Life Policy

Practice Management

Template letter – Late payments of debts
Police request for records
Requests to add a flag to a medical record
Template Modern Slavery and Human Trafficking Statement
GP registrar reimbursements claim form
Visa reimbursement claim form
Template FOI request – to commissioner re live contracts

BMA letters

Template letter – follow up of investigation
Template letter – delayed discharge summary
Template letter – delayed clinic summary
Template letter – provision of medication following discharge
Template letter – missed appointments
Template letter – for onward referral
Template letter – failure to provide fit note
Template letter – to CCG to inform of contract breach
Template Letter – Outpatient appointment – no script provided
NHS standard contract – 2016/17Download

Doncaster LMC – Useful Forms

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