Change of Personal Details

Before submitting this form please check to make sure your new address falls within our practice boundary. If not you will need to register with a new surgery. 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. 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).

Last Updated: 23/02/2024

Your Details





Change of Name

In order to change your name at the Practice you must submit evidence of this change, ie marriage certificate, deed poll certificate.  The Practice is unable to change your name until you have provided supporting evidence.  



Change of Address




Update Contact Numbers





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