Change of Personal Details

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, can you please provide us with a copy of the appropriate document (requirement of Department of Health).

Change of Personal Details

About you

Please use this date format: DD/MM/YYYY.
If you don't provide an email address we won't be able to respond to you by email

Change of Name

If your name has changed due to Marriage or by Deed Poll, can you please provide us with a copy of the appropriate document (requirement of Department of Health).

Change of Address

Update Contact Numbers

By providing these details you consent to us contacting you with appointment reminders, personal confidential medical details or results.

Language Interpreter

Sign Language Interpreter

Use of Personal Data Opting Out

You can decide to opt out where you previously given consent with regards the use of your data. We would advise that this is considered carefully by referring to the additional information provided to ensure your patient care is not compromised.