Update Your Contact Details

Changing your contact details

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

fill out the change of contact details form below
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.

Practice Information

Update your details form

Title(Required)

First Name(Required)

Surname(Required)

Previous First Name

Previous Surname

Date of Birth(Required)

Place of Birth(Required)

Current Email

Enter Email Confirm Email

Current Home Number

Current Mobile Number

Would you like to receive text message reminders?(Required)

Yes

Previous Address(Required)

Street Address Address Line 2 City Postcode Country

Current Address(Required)

Street Address Address Line 2 City Postcode Country

Other members of your family requiring a change of address (if registered here)

Name

Date of Birth

Please upload supporting proof

Max. file size: 50 MB.

Name

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