Right to object form
Submitting this form means your health and social care records will not be made available to view through the Coventry and Warwickshire Integrated Care Record.
This could have implications you hadn’t thought about. Please take a minute to read the information below the form before making your decision.
Please note: if you are objecting on behalf of someone else, do not use this online form. Please complete the postal form instead.
If you change your mind
If you object by using either this online form or the postal/email version mentioned above, you can change your mind at any time. You can reverse your decision by completing this form. You’ll find details of how to send it to us on the form itself.
How we use your information
The information you submit through our forms is held securely. We will use it only to process your request. For more details on how we use your information, please see our privacy notice.