Change of legal name

This service is for non-emergency queries only.
For emergencies or urgent help please click here

Inform us if you have legally changed your name (i.e via Deed or Marriage)

Before you start

  • Your practice will aim to respond to your query within 2 working days.
  • If your query is not submitted, no details will be sent to your GP.
  • You must be over 16 to use this service, although you may use this service to contact the practice about a person you care for who is under 16.
  • You must be registered as a patient with Dr Samuel and Dr Khan Practice.
  • I am resident in, and am currently in, the UK.