Change Your Personal Details Form

Use this service to change your address, name or phone number. It is important that we have up to date contact details in case we need to contact you.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of