Update your details

Changing your contact details

To update details like your name, address, phone numbers or email address:

fill out a change of contact details form
phone or visit the surgery from 10am to 6pm

Change of address

If you have moved to a new address, you will need to be in our catchment area to stay registered with our surgery.

Check you are in our catchment area

Changing your phone number or email address

You will need to show us identification before we can change your phone number or email address.

Changing your date of birth or name

You will need to show us proof that you have changed your name or date of birth. This could be a marriage or civil partnership certificate, deed poll or birth certificate.

Change your contact details

Name(Required)

First Last

Date of Birth(Required)

Change of name

I want to update my name

New Name

First Last

Change of address

I want to update my address

Old Address

New Address

Note: If your new address falls outside of our catchment area, you will need to register with a new GP and we may need to contact you regarding this matter.

Change Contact Details

I want to update my contact details

Home Phone

Mobile

Other Phone Number

Confidentiality

By using this form you will be sending information about yourself across the Internet. By sending this form you are indicating your agreement that the surgery may contact you by email or telephone to discuss the information contained in this form. If either of these points concerns you or you disagree in any way then you should use another method of notifying us of your change of contact details.

Phone

This field is for validation purposes and should be left unchanged.

75006