Update Contact Information

Update Contact Information

Please use this form to update your contact information. Note, updating your askmyGP account does NOT transfer to our Patient Clinical System.

Your Name

First Name

Middle Name (leave blank if none) (optional)

Last Name
Address

Please tell us if you have changed your address.

Current Home Address, including postcode

Have you moved to this address in the last 3 months?

Yes

No

If yes, please state your previous address (including postcode). (optional)
Contact Information

We need up-to-date contact information in order to contact you about your health.

Main Phone Number

Email Address (leave blank if you do not have one) (optional)

Do you consent to Text Messages from the Practice?

Yes

No

Do you consent to Email Message from the Practice?

Yes

No
Proxy

Let us know if you want someone else to have access to your records. Note you can change this at any time.

Do you want someone else to speak on your behalf about your health?

Yes

No

If yes, please enter their name, relationship to you, and their contact number (optional)

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Page last reviewed: 08 June 2026