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Change Of Address Form

It is very important that you notify us immediately of any changes of name, address or telephone number. There are many reasons why we may need to contact you.

CHANGE MY DETAILS ONLINE

You can use the form below to email the surgery of any changes to your contact details.

1Change Of Address Form

2Other members of your family requiring a change of address

3Comments


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


11-13 Charlton Road, Blackheath, London, SE3 7HB
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