Change Personal Details

Please let us know as soon as possible if you change your address, telephone number or name. It is important that we have up to date contact details in case we need to contact you.

We cannot accept new addresses that are outside our practice boundary, please check this before submitting any change of address.

If you are moving outside our practice boundary we are obliged to remove you from our practice list. Instead of submitting a new out of bounds address, please register with a GP closer to your new address, further information can be found at www.nhs.uk/service-search/find-a-gp

We do not need to know if you are moving to a new GP. Your medical records will be automatically sent to your new GP.

Please note: If your name has changed due to Marriage or by Deed Poll, can you please provide us with a copy of the appropriate document (requirement of Department of Health).

Please be aware that once this form has been submitted, it will be held within your health record.

Change of name or address

Change of name or address

Section

Please select the information you are wanting to update?

Change of Name

If your name has changed due to Marriage or by Deed Poll, can you please provide us with a copy of the appropriate document (requirement of Department of Health).
How do you wish to be known? *

Change of Address

Only if they are registered at this practice.

Update Contact Numbers

Would you have any objection to being reminded by text for appointments?
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