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Change Of Address Form

It is very important that you notify us immediately of any changes of name, address or telephone number. There are many reasons why we may need to contact you.

CHANGE MY DETAILS ONLINE

You can use the form below to email the surgery of any changes to your contact details.

1Change Of Address Form

2Other members of your family requiring a change of address

3Comments

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.

© Neighbourhood Direct Ltd 2017
11-13 Charlton Road, Blackheath, London, SE3 7HB
Practice Website supplied by Oldroyd Publishing Group
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