Old Bridge Surgery

01503 266960

Updating Your Details

Please notify us of any changes to your names, address, contact telephone numbers or email address, so that we can amend our records.  As we use a text message service to remind patients of their appointments, which has been very popular amongst our patients, please ensure we have your correct mobile number.

If you wish to change your name or address then you will be required to provide reception with identification supporting this.

Approved forms of identification include:

  • Marriage certificate
  • Deed poll
  • Utility bill
  • Bank statement
  • Council tax statement

Complete our online form below to change your contact details or download a paper form here.

  • Change of Name

    If you are not changing your name, then please just complete the 'updated name' section *this is a required field.
  • DD slash MM slash YYYY
  • Change of Address

    If you are not changing your address then please only complete the 'new address' section *this is a required field.
  • Change of Contact Details

    If you are not changing your telephone number or E-mail address then only complete the 'new' fields.
  • This field is for validation purposes and should be left unchanged.