Update Clinical Record

Please help us to keep our clinical records up to date by providing the information below.

PLEASE NOTE THIS IS NOT FOR CHANGE OF NAME – please click here
for the Change of Details page where you can download the relevant form for these changes and bring it to reception with the required ID

1 Your Details

This will allow us to locate you quickly on our Patient Database.

2 Your Contact Details

3 Physical Attributes

4Lifestyle Choices

5 Additional Information

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Your Neighbourhood Professionals Save time and nominate your local pharmacy. Counselling: why wait for a NHS appointment? Contact a private counsellor today Lenore Dunmore Counselling
© Neighbourhood Direct Ltd 2017
Shotfield, Wallington, Surrey, SM6 0HY
  • Telephone 020 8669 7612
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals Save time and nominate your local pharmacy. Counselling: why wait for a NHS appointment? Contact a private counsellor today Lenore Dunmore Counselling
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