Change of Contact Details

Warning advice: Please Note

Before submitting this form please check to make sure your new address falls within our practice boundary. If not you will need to register with a new surgery. Please let us know as soon as possible if you change your address, telephone number or name. It is important that we have up to date contact details in case we need to contact you.

Please note: If your name has changed due to Marriage or by Deed Poll, please provide us with a copy of the appropriate document (requirement of the Department of Health and Social Care).

Medical matters and official complaints cannot be dealt with via this form.

If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.

If you do wish to lodge a complaint, please email frimleyicb.practicemanager.foresthealthgroup@nhs.net.
Title
DD slash MM slash YYYY
Email
Would you like to receive text message reminders?
Are you a student?
Previous Address
Current Address
Other members of your family requiring a change of address (if registered here)
Name
Date of Birth