Communication consent

Use this service to enable us to continue contact with you. We will update your records with your preferred contact method.

You can use this service if you:

• are registered at the surgery

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• evidence if your name has changed due to marriage or by deed poll

Start now

You can also phone us on Patterdale Lodge Medical Centre 01925 227111 or High Street Surgery 01925 227111 or Burtonwood Village Surgery 01925 222 012.