Opt out of the MyMelanoma study

Use this form if you do not want to be invited to take part in the MyMelanoma study.

You can request not to receive an invitation

If you've previously opted out of sharing your health data for planning and research purposes, by submitting a National Data Opt-out, you do not need to take any action. You will not be invited to take part in research by NHS England.

For everyone else, you can submit the form below if you do not want to be invited to take part in the MyMelanoma study.

More information can be found on the MyMelanoma study website.

MyMelanoma study opt-out form

Fields marked with an asterisk* are mandatory

Your first name *

Your middle name

Your last name * Family name

Your date of birth *

Day

Month

Year

Gender *

Your postcode * You must enter the home postcode you registered with your GP surgery and include a space in the middle. For example EN1 1BE.

Your NHS number You can find your NHS number at https://www.nhs.uk/nhs-services/online-services/find-nhs-number/

Why do you wish to opt out? We use this information to better understand patient attitudes to data sharing and improve our future communications.

This is an opt-out form

You should only submit this form if you do not wish to be invited to take part in the research programme.