Change Your Details

Please help us to keep our records up to date by letting us know if you change your name, address, contact telephone numbers or email address. If you move house please check whether your new home is still within our practice area. If it is not then you need to advise us of the new address and you will be given 28 days to locate a new GP in your area. You will need to use the relevant form available at reception to notify us of any change of name, address or other contact details.

Please note that we may use your email address or your mobile phone number to contact/text you about reviews, appointments or other general information. Providing these details and signing the registration form indicates your consent for us to do this. Please ensure your email address and mobile phone number is always kept up to date.

Please use the following downloadable form to update some of your general information held on our system and in particular for ensuring we have the correct contact telephone numbers to contact you easily. Complete the form here and hand it in at reception.

Click here to download the General Update Questionnaire.

If you have to notify us of a change of name or address only you will need to complete a specific form for this and provide ID, please see the correct form here

Click here to download the Notification of Change Form.

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© Neighbourhood Direct Ltd 2017
Shotfield, Wallington, Surrey, SM6 0HY
  • Telephone 020 8669 7612
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Save time and nominate your local pharmacy. Your Neighbourhood Professionals Lenore Dunmore Counselling
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