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Waddesdon Surgery

Goss Avenue, Waddesdon, Aylesbury, Bucks, HP18 0LY

Telephone: 01296 658 585

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Registration Form – Childrens

Any children under 16 can only be registered if there parent/guardian is also registered with the surgery.

To process the registration of all children under the age of 16 a copy of the childs birth certificate or red book will need to be taken to the surgery to be verified.

To register please use this link to the NHS website: https://gp-registration.nhs.uk/K82068

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Name*

Title First Last

Date of Birth*

What would you like to update?*

Name

Address

Telephone Number

Email Address

New Name*

Prefix First Last

New Address*

Street Address Address Line 2 Town County Postcode Country

Other family members also moving to this address:

Please provide us with their name and date of birth

New Home Telephone Number

New Mobile Telephone Number

New Work Telephone Number

New Email*

Please upload supporting documentation of name change

Max. file size: 128 MB.