Email address / phone number
To update your email address or telephone number, please email [email protected] or complete an online form. Make sure to provide your full name and date of birth.
To update your email address or telephone number, please email [email protected] or complete an online form. Make sure to provide your full name and date of birth.
Also, remember to check your junk mail folder for any emails from the surgery. When you provide your email address or phone number, a verification message will be sent to you. Please look for this message and respond to it.
Name / address
It is important that we have the correct contact details for you. If you change your name, please complete the form below. Bring the form to reception, along with the legal documentation confirming your change of name (i.e. Marriage Certificate, Deed Poll). The receptionist will photocopy this original documentation and hand it back to you immediately.
If you have changed address, please either send an online request or complete the form below. You can email the form to us at reception[email protected] or take it to reception at any of our sites. Forms are also available from each of our receptions.
It is important that we have the correct contact details for you. If you change your name, please complete the form below. Bring the form to reception, along with the legal documentation confirming your change of name (i.e. Marriage Certificate, Deed Poll). The receptionist will photocopy this original documentation and hand it back to you immediately.
If you have changed address, please either send an online request or complete the form below. You can email the form to us at reception[email protected] or take it to reception at any of our sites. Forms are also available from each of our receptions.
Change of Name and Address Form - Word Doc | |
File Size: | 1341 kb |
File Type: | docx |
Height, weight and smoking status
It's helpful to have your height, weight and smoking status on your medical record. This information is needed if you have a referral.
You can update these details by completing the form below. You can either hand it in at reception, or email it to [email protected]. Forms are also available from each of our receptions.
It's helpful to have your height, weight and smoking status on your medical record. This information is needed if you have a referral.
You can update these details by completing the form below. You can either hand it in at reception, or email it to [email protected]. Forms are also available from each of our receptions.
Update Medical Records Form - Word Doc | |
File Size: | 1340 kb |
File Type: | docx |