Change 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).

Please ensure you check your Spam/Junk email folder for any replies. An appointment/reply will be sent back to you via an email.

Change of name or address - Haygarth Medical Centre

Do you consent to us sending SMS text messages with the above information? *
Do you consent to us sending emails to you with the above information? *

For more information, please visit our Patient Consent for Email and Text Message Communication page.

Please select the information you are wanting to update?

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).
How do you wish to be known? *

Change of Address

Only if they are registered at this practice.
Do you have a home telephone number? *

Update Contact Numbers

Would you have any objection to being reminded by text for appointments? *