1. We will not respond to any medical information or medical questions received through this form - it is for ADMINISTRATIVE PURPOSES ONLY.
2. If you move outside the Practice area, it will be necessary for you to find a Doctor in your new area.
3. If you are moving temporarily out of our practice area, you must sign on with a GP in your new area. We will be unable to provide medical services to you until you return to our practice area.4. If you are under the care of a hospital when you change address, it is your responsibility to let them know that your details have changed.5. All fields marked with * are mandatory.
About This Form
The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly.
Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of letting the practice know your changed details.