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Ardingly Court Surgery

1 Ardingly Street
Brighton BN2 1SS
Tel: 01273 688333

 Change of Details

 

Change of Personal Details

Please let us know if you move, or if you change your telephone number. If you are in any doubt, please check with the receptionist that we have the correct details on our files. Information held on our Practice computer is subject to current legislation as laid down by the Data Protection Act 1998. Under that Act, you have certain rights of access to your medical records. Please apply in writing to your doctor or to Dee French, our Practice Manager. If you need copies of your records, however, we do need to make charges to cover our expenses in doing this.

Online Form to send us your change of details

Please Note: This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of message can not be guaranteed.

* this information is essential Old Details
(Previous) Name  *
(Previous) Address  *
 
(Previous) Post Code:  *
Date of Birth  *
Date of Change
   
  New Details
New Name  *
New Address  *
 
New Post Code:  *
Telephone Number
   
   

Other Family Members Affected by Change:

       Name Date of birth
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