Change contact details form

If you need to change or update your contact details, you can do so by completing the form below. We'll let you know when your details have been updated.

Email address / phone number

To update your email address or telephone number, please email reception.sahc@nhs.net or complete an online form. Make sure to provide your full name and date of birth.

Also, remember to check your junk mail folder for any emails from the surgery. When you provide your email address or phone number, a verification message will be sent to you. Please look for this message and respond to it.

Name / address

It is important that we have the correct contact details for you. If you change your name, please complete the form below. Bring the form to reception, along with the legal documentation confirming your change of name (i.e. Marriage Certificate, Deed Poll). The receptionist will photocopy this original documentation and hand it back to you immediately.

If you have changed address, please either send an online request or complete the form below. You can email the form to us at reception.sahc@nhs.net or take it to reception at any of our sites. Forms are also available from each of our receptions.

An NHS number is a 10-digit number, like 485 777 3456. If known, please enter your NHS number in the field below. You can find more information on the NHS website
Please briefly describe the reason for changing your contact details
Please write your full name to sign the form

Height, weight and smoking status

It's helpful to have your height, weight and smoking status on your medical record. This information is needed if you have a referral.

You can update these details by completing the form below. You can either hand it in at reception, or email it to reception.sahc@nhs.net

Forms are also available from each of our receptions.