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https://download.igpr.co.uk/Download/5d59b7a3-67a6-4216-bc03-cdb97188b337
Submission: On June 06 via manual from GB — Scanned from GB
Submission: On June 06 via manual from GB — Scanned from GB
Form analysis 1 forms found in the DOM
<form id="form-pane">
<input id="accessId" type="hidden" name="AccessId" value="5d59b7a3-67a6-4216-bc03-cdb97188b337" autocomplete="off">
<div class="row justify-content-md-center">
<div class="col-md-auto">
<h3>Please confirm the Patient's date of birth</h3>
</div>
</div>
<div class="row justify-content-md-center">
<div class="col-lg-12 justify-content-md-center">
<table class="layout">
<tbody>
<tr>
<td>
<label>Day:</label>
</td>
<td>
<select id="dobDate" class="form-control custom-control-inline" style="width: 90px">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
</td>
</tr>
<tr>
<td>
<label>Month:</label>
</td>
<td>
<select id="dobMonth" class="form-control custom-control-inline" style="width: 110px">
<option value="1">January</option>
<option value="2">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
</td>
</tr>
<tr>
<td>
<label>Year:</label>
</td>
<td>
<select id="dobYear" class="form-control custom-control-inline" style="width: 90px">
<option value="1900">1900</option>
<option value="1901">1901</option>
<option value="1902">1902</option>
<option value="1903">1903</option>
<option value="1904">1904</option>
<option value="1905">1905</option>
<option value="1906">1906</option>
<option value="1907">1907</option>
<option value="1908">1908</option>
<option value="1909">1909</option>
<option value="1910">1910</option>
<option value="1911">1911</option>
<option value="1912">1912</option>
<option value="1913">1913</option>
<option value="1914">1914</option>
<option value="1915">1915</option>
<option value="1916">1916</option>
<option value="1917">1917</option>
<option value="1918">1918</option>
<option value="1919">1919</option>
<option value="1920">1920</option>
<option value="1921">1921</option>
<option value="1922">1922</option>
<option value="1923">1923</option>
<option value="1924">1924</option>
<option value="1925">1925</option>
<option value="1926">1926</option>
<option value="1927">1927</option>
<option value="1928">1928</option>
<option value="1929">1929</option>
<option value="1930">1930</option>
<option value="1931">1931</option>
<option value="1932">1932</option>
<option value="1933">1933</option>
<option value="1934">1934</option>
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
</select>
<img class="icon-valid hidden" src="/Content/ico-valid.png" alt="Green tick">
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div id="patient-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px;">
<div class="col-lg-12">
<p class="error">The details you have entered do not match the patient.</p>
<p class="error">Please check you have the correct patient details and try again.</p>
<p class="error">Please note you have <span class="strong remaining-attempts"></span> remaining attempts to enter the correct details.</p>
<p class="error">For any enquiries please contact MacInnes Medical Centre.</p>
</div>
</div>
<div id="password-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px; ">
<div class="col-lg-12">
<p class="error">The password you have entered is incorrect</p>
<p class="error">Please check the password sent to the email address above and try again.</p>
<p class="error">Please note you have <span class="strong remaining-attempts"></span> remaining attempts to enter the correct details.</p>
<p class="error">For any enquiries please contact MacInnes Medical Centre.</p>
</div>
</div>
<div id="locked-error" class="row justify-content-md-center text-center" style="display: none; margin-top: 20px;">
<div class="col-lg-12">
<p class="error">This report has been locked after too many access attempts.</p>
<p class="error">If you still need to access this report please contact MacInnes Medical Centre and ask them to send a new secure link</p>
</div>
</div>
<div class="row justify-content-md-center" style="margin-top: 20px;">
<div class="col-md-auto text-center">
<button id="next" type="button" class="btn btn-primary" disabled="disabled">Next</button>
</div>
</div>
</form>Text Content
MACINNES MEDICAL CENTRE HAS SENT A COPY OF YOUR SUBJECT ACCESS REQUEST, REF: (DC BELL3144/00001) PLEASE CONFIRM THE PATIENT'S DATE OF BIRTH Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: January February March April May June July August September October November December Year: 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 The details you have entered do not match the patient. Please check you have the correct patient details and try again. Please note you have remaining attempts to enter the correct details. For any enquiries please contact MacInnes Medical Centre. The password you have entered is incorrect Please check the password sent to the email address above and try again. Please note you have remaining attempts to enter the correct details. For any enquiries please contact MacInnes Medical Centre. This report has been locked after too many access attempts. If you still need to access this report please contact MacInnes Medical Centre and ask them to send a new secure link Next YOUR INTERNET BROWSER IS NOT SUPPORTED. TO USE THIS WEBSITE YOU NEED TO USE A MODERN BROWSER SUCH AS GOOGLE CHROME, SAFARI (MAC), FIREFOX OR MICROSOFT EDGE PLEASE CLICK THE LINK YOU RECEIVED AGAIN AFTER INSTALLING ONE OF THESE BROWSERS COOKIES ARE NOT ENABLED TO USE THIS WEBSITE YOU NEED TO HAVE COOKIES ENABLED IN YOUR INTERNET BROWSER TIP: YOU CAN TURN COOKIES ON IN SETTINGS THIS WEBSITE USES ONLY STRICTLY NECESSARY COOKIES TO ENABLE ACCESS TO YOUR REPORT. FOR MORE INFORMATION PLEASE READ OUT PRIVACY POLICY ; Privacy Policy