Accessible Information Standard

How can I get information about me in a way that I can understand?

We wish to support everyone to have access to their information and communicate with us in the way that is easiest for them to understand. If you have a disability or sensory loss, we can offer additional support if you need it.

If you have any special communication needs or need to be given information in a certain format (large print, Easy Read, text) please let us know. We will put a note on your record to remind us of your needs.

We can also book interpreter services for patients using British Sign Language or Language empire if English is not your first language.

Preferred Method of Communication (The Accessible Information StandardI)

It is important that you let us know if you have any information or communication needs and how we can meet them.

Name

First

Last

Date of Birth

NHS number (if known)

Please tick any of the boxes that are relevant to you:

Interpreter Needed (Spoken)

Interpreter Needed (Sign Language)

Hearing Difficulty

Prefers email

Needs Braille

Large Print needed

Difficulty Reading/Writing

Advocate Needed

Any other information or communication needs

If you are human, leave this field blank.