Change of Contact Details

 

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If you change name, address or telephone number, please let our receptionists know by calling or writing to us, or completing the online form below. If you move outside the practice area you may need to find a doctor in your new area. There are instructions on what to do when you move to a new area on the back of your NHS medical card.

Please complete our online form

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Personal Details
Please double check you've entered the correct email address
 
May be used to identify you
Change of Name
If your name changed due to Marriage or by Deed Poll please provide the practice with a copy of the appropriate documentation
Change of Address
Change of Phone Number

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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