The Health Centre

BBC | Health News
HOW DO I....
Change My Personal Details?



Security note: Electronic transmissions on the Internet are not always secure and theoretically it is possible for the details emailed from this form to be intercepted by a third party. If you have any concerns, we advise you to visit the surgery and present your details in person.

- CHANGE OF PERSONAL DETAILS -
Name:
Email Address:
Home Address:
Telephone Number:
Computer Number (if known):



- Details Which Have Changed-
Please Indicate Which Details Have Changed:
Please Indicate If Any Other Family Members Have Altered Details: