Change of details

Please only use this form if you are registered with GP Direct

Please complete this form if you need to change your name, address or date of birth.

To change your name or date of birth ID will be required in the form of a Passport, Driving Licence, Birth Certificate, Marriage Certificate or Deed Poll.

You can either download the paper version below and fill it out and post or bring it to the surgery OR you can fill out the form electronically below.