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HOW DO I..?

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Dr S M A Everitt
and Partners
Upton Surgery
Tunnel Hill
Upton Upon Severn
Worcester
WR8 0QL

Tel 01684 592696

 
 

 
 
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If you change your address please inform the practice as soon as possible, so that our records can be updated. This may be of particular importance if you require a home visit in the case of an emergency.

It is also important that you inform local hospitals where you are undergoing medical treatment, as they will also need to update their medical records in order to keep in contact with you.

Remember this form is not for medical problems.

Your name and previous details:

Name*
Date of Birth*
E-mail
Tel
Old address*
Old Post Code*
New address*
New Post Code*
New Tel Number
Names of all family members who have moved to the new address if they are registered with this surgery
*You must provide this information

Please Note: If you have any outstanding appointments at the hospital please inform them directly of your change of address.

  


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