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Register your type 1 opt-out preference

Register your Type 1 Opt-Out Preference
Required fields are labelled

Would you like to sign in with NHS login?

Information:

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You can also continue without using NHS login.

Who are you completing this form for?
For example, on behalf of a child or dependent
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you

Your Decision

Please select one of the following: Required

Your Declaration

I confirm that: Required
Please select one of the following: Required