Forms

Health-information SAR professional consultation log

Record dated efforts to obtain an appropriate health professional's opinion for a health-information subject access request, including contact attempts, responses, rationale and the resulting disclosure or withholding decision.

Form
CalmComplianceForm template

Health-information SAR professional consultation log

Version
v1
Updated
7 October 2026
Reviewed
7 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, handling a health-information subject access request where professional input may be needed.
Jurisdiction
england

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Complete this log only where the school is handling a health-information subject access request and professional input may be needed for the disclosure decision, including where serious-harm considerations arise. Record each contact attempt and retain supporting evidence in accordance with the school's records-management arrangements.

Subject access request details

SAR reference

Required

Enter the school's internal reference for the subject access request.

e.g. SAR-2025-001

Data subject identifier

Required

Use the school's approved identifier rather than unnecessary personal details.

Approved internal identifier

Date the SAR was received

Required

Enter the date on which the school received the subject access request.

Day
Month
Year

Health information in scope

Required

Briefly describe the health information or records relevant to the consultation.

Describe the information in scope

Reason professional input may be needed

Required

Record the reason the disclosure decision may require an appropriate health professional's opinion.

Choose all that apply

  • Serious-harm considerations may arise
  • A professional assessment is needed to inform the disclosure decision
  • The sensitivity or nature of the health information requires professional input
  • The decision-maker is uncertain whether disclosure is appropriate
  • Other

If other, please specify

Consultation rationale

Required

Explain why an appropriate health professional's opinion may be relevant to this SAR and identify the decision that the opinion is intended to inform.

Explain the rationale

Appropriate health professional

Professional role or service

Required

Record the role or service of the appropriate health professional, without including unnecessary personal information.

Role or service

Why this professional or service is appropriate

Required

Record the basis for selecting this professional or service.

Explain the basis for selection

Information or opinion requested

Required

Specify the information provided to the professional and the opinion or advice requested.

Describe the request

Contact attempts

Reasonable contact steps considered

Required

Confirm that the school has considered and recorded the reasonable steps needed to contact the appropriate health professional.

  • Tick when complete

Number of contact attempts

Required

Enter the total number of contact attempts recorded in this log.

Number

Minimum: 0 · Maximum: 1000

Date of first contact attempt

Required

Enter the date on which the first attempt to obtain the opinion was made.

Day
Month
Year

Contact routes used

Required

Select every route used and add another route if needed.

Choose all that apply

  • Telephone
  • Email
  • Secure portal or electronic referral system
  • Post
  • Contact through the professional's service or organisation
  • Other

If other, please specify

Dated contact-attempt log

Required

For each attempt, record the date, person or service contacted, route, information provided, response or non-response, and any next action.

Date — contact or service — route — information provided — response or non-response — next action

Location of evidence of contact attempts

Required

Identify where the school retains emails, call notes, letters, referral records or other evidence. Do not upload documents through this form.

Approved records location or reference

Date of latest response or follow-up

Required

Enter the date of the latest response received or the latest follow-up attempt made.

Day
Month
Year

Response status

Required

Select the current status of the consultation.

Choose all that apply

  • Opinion received
  • Contact acknowledged; opinion pending
  • No response received
  • Professional or service unable to advise
  • Alternative appropriate professional identified
  • Other

If other, please specify

Responses and follow-up actions

Required

Record the substance of any response, the date and nature of follow-up actions, and why any further attempts were or were not made.

Record responses and follow-up actions

Disclosure decision

Decision-maker

Required

Enter the name or role of the person who made or will make the disclosure decision, in line with the school's records practices.

Name or role

Date of disclosure decision

Required

Enter the date on which the disclosure or withholding decision was made.

Day
Month
Year

Resulting disclosure outcome

Required

Select the outcome of the decision.

Choose one

  • Full disclosure
  • Partial disclosure
  • Information withheld
  • Decision pending
  • Other

If other, please specify

Decision-maker rationale

Required

Explain how the professional input, contact efforts and other relevant considerations informed the disclosure or withholding decision. If no opinion was obtained, explain how the recorded contact efforts were considered.

Set out the decision rationale

Consultation record completed and evidence retained

Required

Confirm that the consultation efforts, responses, rationale and outcome have been recorded and that supporting evidence can be located if required.

  • Tick when complete
CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
7 October 2026
Reviewed
7 October 2026

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