Change of personal details
We often try to contact patients only to find that their telephone numbers have changed; Please use this form (see below) to notify us of any changes to your personal details, for instance a change of mobile phone number, a change of address or change of name. This will help us keep our records up to date and enable us to contact you directly should we need to do so. We are now operating a text appointment reminder service, so please ensure your contact details are kept up to date.
We have placed a quantity of slips at both surgeries for you to complete, alternatively you can email email@example.com or complete the online form below.
If you move outside the practice area, it will be necessary for you to find a doctor in your new area. Birmingham and Solihull CCG will help you if you experience difficulty. Advice regarding moving to a new area is on your medical card. Please read it and keep your medical card in a safe place.
Additional Family Members
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 and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.