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Change of Name, Address or Telephone Number

Please notify us of a change to your address, name or telephone number.

Forms to record changes to personal details are available from reception.

If you move outwith the practice boundary you are advised to register with a GP near to your new locality. Once you have signed up your records will be recalled and automatically forwarded to your new surgery.

Please note that if you are waiting for an appointment from a local hospital, then you must inform the hospital of your change of address.
* this information is essential Old Details
(Previous) Name  *
(Previous) Address  *
 
(Previous) Post Code:  *
Date of Birth  *
Date of Change
   
  New Details
New Name  *
New Address  *
 
New Post Code:  *
Telephone Number
   
   

Other Family Members Affected by Change:

       Name Date of birth
1
2
3
4
5
6
7
8
     
  Please type the green word in lower case letters into the box below
     

                       

 

 
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Please note that any advice on our website is for registered patients only and it should not be used as a substitute for seeking advice from a GP.  Electronic transmission of data via our website (i.e. emails to us and using the electronic repeat prescription facility) may not be totally secure.
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