Heaton Norris Health Centre

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HOW DO I...
CHANGE MY PERSONAL DETAILS?

Please let our reception staff know as soon as possible if any of your personal circumstances change. You can also notify us here directly by using the form below.


Security note: Electronic transmissions on the Internet are not always secure and theoretically it is possible for the details emailed from this form to be intercepted by a third party. If you have any concerns, we advise you to visit the surgery and present your details in person.

- CHANGE OF PERSONAL DETAILS -
Name:
Email Address:
Home Address:
Telephone Number:
Computer Number (if known):



- Details Which Have Changed-
Please Indicate Which Details Have Changed:
Please Indicate If Any Other Family Members Have Altered Details:





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