Changing your details – Grasmere Surgery

Changing your name or phone number

If you change your name or telephone number please let us know by either:

Completing the online form below
Come into the surgery
Writing to us

Changing your address

If you change your address please make sure you are still within our practice area by entering your postcode below:

If your new address is outside the practice area you will need to find a doctor in your new area follow this link to see who is your nearest Doctor.

If your new address is within our practice area please complete the online form below or you can write to us to let us know of the change.

Please note that we cannot accept any change of details over the phone.

Change of details form

Changes
Please let us know if your personal circumstances have changed e.g. your name, address and or contact number.
Full name*
Date of birth*
DD slash MM slash YYYY
Current address*
Current Postcode*
Current contact number*
Current email address*
Enter Email Confirm Email
Please tick the relevant changes*
- Change of name
- Change of address
- Change of contact telephone number
- new email address
- other
Please confirm your new details
In the box below, please confirm your new contact number, your new email address, new name, new address and or other information.
Consent*
I agree to the privacy policy.
Please note that no medical information or questions will be responded to. The data you supply on this form will be stored on our website, which is hosted by a third party, until it has been processed by the practice. The data will be used lawfully, in accordance with the Data Protection Act 2018, which gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly. The practice privacy policy can be viewed on this website.

Changing your name or phone number

Changing your address

Change of details form

Changes