St Johns Medical Centre

Changing Name or Address

If you change your name, please provide us with certified copies of the relevant document eg marriage certificate or deed poll.

If you move house please check that your new address falls within our practice area by looking on the practice boundary map and let us have your new contact information below.  If your new address falls outside the boundary you will need to register with a practice local to your new home.

In order for us to update our records, please ensure ALL details (*) are provided, including your postal code, contact telephone numbers and mobile. If you are just changing your telephone number, please select the relevant tickbox.

A separate form will be required for each patient registered at St Johns.

If you wish to update a family please call in at the surgery.

EXISTING Address

NEW Address