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Update Registration


For security reasons your computer IP address has been logged.
Please use this section to update personal and medical detail. Unfortunately, we will not be able to update any changes to your name or date of birth online.
You will have to attend the surgery in person with documents to support the changes (marriage certificate, passport, utility bills etc.)

Patient Present Registration Details
Patient Name
Current Patient Address
Address Post Code
Patient Date of birth
(e.g. 23rd August 1976)



New Details
Home Phone Number
New Patient Address
Work Phone Number
Mobile Phone Number
Email Address
 
Update Your Health Details
If you are concerned with any of your health readings please feel free to contact us by clicking here.
 
Are you a smoker?
If you are a smoker, how much do you smoke?
Do you drink alcohol?
If you drink alcohol, how many units do you drink per week?
(1 glass wine=1/2 unit, pint beer=1unit, a pub measure of spirits = 1 unit)
How much do you weigh?
(e.g. 10st 5lbs, 75 kg)

For further information regarding weight please click here
Peak Flow Readings (Asthmatic Patients Only)

Please provide the reading details and the date.

For further information regarding Peak Flows please click here
Sugar Readings (Diabetic Patients Only)

Please provide the reading details and the date.

For further information regarding Sugar levels please click here
Blood Pressure Readings

Please provide the reading details and the date.

For further information regarding Blood Pressure please click here
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