Patient portal access request for a parent or carer

Complete this form if you are a parent or legal guardian requesting to be added as a carer to access your child’s patient portal record through Patients Know Best (PKB). 

You must have an account on PKB to be added as a carer.

If you do not have an existing account, you will need to register.

Parent/guardian access request

Note: Questions marked by * are mandatory

*This is a mandatory field. Full name of parent/guardian requesting access

*This is a mandatory field. Parent/guardian's NHS number

*This is a mandatory field. Parent/guardian's relationship to child

*This is a mandatory field. Parent/guardian's date of birth

*This is a mandatory field. Parent/guardian's full address

*This is a mandatory field. Email address (please ensure this is the same email address you used to register for the portal)

*This is a mandatory field. Child's full name

*This is a mandatory field. Child's NHS number

*This is a mandatory field. Child's date of birth

*This is a mandatory field. Child's full address

*This is a mandatory field. Do you have parental responsibility for the child named above?

Please select an option YesNo

According to the EU General Data Protection Regulations (GDPR 2016) and UK Data Protection Act (DPA 2018) children and young adults can assume control over their personal information, and restrict access to it, from age 13. Therefore, when children turn 13, they gain the capacity to manage their patient portal record and their consent must be sought over record sharing.

Please select an option Yes - I have obtained consent for their records to be shared with meNo - I have not obtained consent for their records to be shared with meNot applicable - the child is not over the age of 13