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Berwick Surgery
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Change of Details

Please complete this form to advise us of your change of address or any other changes to your contact details.

You will need to provide proof of the change of details, i.e utility bill or if you have married then marriage certificate.

Previous Details
Including Title
This will allow us to locate you quickly on our Patient Database.
Previous Address
Previous Contact Details
New Details

Provide details where different to previous.

Including Title
DD/MM/YYYY
This will allow us to locate you quickly on our Patient Database.
New Address
New Contact Details
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Additional Family Members

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Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Berwick Surgery

17 Berwick Road, Rainham, Essex, RM13 9QU

  • 01708 520830
  • nelondonicb.berwicksurgery@nhs.net
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