Change of Name

Please let us know as soon as possible if you change your name. It is important that we keep accurate details about you on our records.

About You

Please use this date format: DD/MM/YYYY.
Please ensure that your email address is correct as this is how you will be notified of a reply.

Your Previous Name

Please include all your given names.

Your New Name

Please include all your given names.
If yes, please provide a copy of your deed poll document.

Please note that the details you give will be used to update your medical records.