Change Your 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.


Last Updated: 02/12/2021

Change Your Personal Details

Please note: If your name has changed due to Marriage or by Deed Poll, can you please provide us with a copy of on of the appropriate documents listed (requirement of Department of Health).  This can be emailed to us at

Registered Deed Poll document

Marriage certificate

Birth certificate

Driving licence




Change of Address

Please note: please check to make sure your new address is within our practice boundary. If not you will need to register with a new surgery in your area.

Update Contact Numbers


Information about your race and ethnicity helps us make sure we provide the highest quality of care for all patients. Studies show that our racial and ethnic backgrounds may place us at different risks for certain diseases.


This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.