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online consult

Do you need routine, non-urgent health advice? Try Online Consult (click on the above button to learn more). Online Consult is NOT for urgent health concerns. Online queries should be submitted during normal working hours ONLY. If you have an urgent health concern, please CALL the surgery. Outside of normal working hours, you will be notified who to call for advice.

All Online Consults will be reviewed by one of our clinical staff, if this is triaged as routine, you will be offered the next available routine appointment for the correct health professional (this may be after 2 working days from you submitting your online enquiry).

Burnside Surgery Reception

Burnside

Change of Personal Details

Before submitting this form please check to make sure your new address fall within our practice boundary. If not you will need to register with a new surgery. Please let us know as soon as possible if you change your address, telephone number or name. It is important that we have up to date contact details in case we need to contact you. Please note: If your name has changed due to Marriage or by Deed Poll, can you please provide us with a copy of the appropriate document (requirement of Department of Health).

Last Updated: 25/09/2019

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • Change of Name

    How do you wish to be known? (optional)

  • Change of Address

  • Update Contact Numbers

    Do you consent to being reminded by text for appointments? (optional)
    This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
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