Change of Personal Details

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). We will also need to see proof of address if this has changed. Please ensure that you have first checked your address is within the practice boundary.

Your ID will need to be shown at Brookside Surgery (off Gipsy Lane) only.

Change of name or address

About you

Please use this date format: DD/MM/YYYY.

Change of Name

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). We cannot update your record until we have seen relevant documentation.

Change of Address

(only if they are registered at the practice)

Please provide us with proof of your new address at your local surgery. We cannot update your record until we have seen relevant documentation.

Update Contact Numbers