Skip to content
Tel: 020 8698 5281
Out of hours: 111
Log on to Patient Access
My NHS Account
Torridon Road Medical Practice
Home
About Us
Baby Friendly
Primary Care Network
Contact
Contact Telephone Numbers
Friends & Family Test
Location
Opening Hours
What to do when we are closed
Patient Opinion
Signing Up For Patient Participation Group
Subject Access Request (SAR)
Send a Message
Ratings and Reviews
GP Training
Making the most of your Practice
Our Team
Allied Healthcare Staff
Doctors
Nurses
Practice Administration Team
Practice Pharmacist
Physician Associate
Patient Participation Group
Practice Policies
At the Practice
Chaperones
Chaperone Policy
Clinical Governance
Clinical Research
Consent Protocol
Disability Access
Duty of Candour
Equality and Diversity
Infection Control Statement
Named GP Policy
Non-Smoking Premises
Quality Assurance
Removal of Patients from our list
Safeguarding Children
Shared Decision Making
Social Media
Unacceptable Actions Policy
Zero Tolerance
Data
Care Data
Freedom of Information
General Practice Extraction Service (GPES)
Your NHS Data Matters
Patient Record
Accessing your Record
Access for Others
Subject Access Requests (SAR)
Data Sharing Preferences
Multi-Disciplinary Teams
The National Care Record Service (NCRS)
Choose if data from your health records is shared for research and planning
Summary Care Record
Organ Donation
Sharing your Information with Others
How we use your Data
Confidentiality
Privacy Policy
London Care Record
Online Access
Proxy Access
Patient Rights
Complaints, Compliments & Suggestions
Entitlement to NHS Treatment
Patient Advice and Liaison Service (PALS)
NHS Patient Rights
Your Rights and Responsibilities
Website Policies
Accessibility
Cookie Policy
Copyright
Disclaimer
Regulations & Governance
Care Quality Commission (CQC)
Clinical Commissioning Group
GP Earnings
The NHS Constitution for England
Teenage Friendly
Administration
Get a Sick or Fit Note
Housing Applications
Health Review Forms
Alcohol Consumption Review Form
Asthma Review Form
Blood Pressure Review Form
Breathlessness Review Form
Epilepsy Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
Smoking Review Form
Travel Risk Assessment Form
Register with us as a New Patient
Update your Personal Details Forms
Change of Contact Details Form
Register as a Carer Form
Register for Online Services Form
Communication Consent Form
Wellbeing Questionnaire
Appointments, Tests & Referrals
Appointments
Book an Appointment
Cancel an Appointment
DNA Statistics
GP Extended Access Service
Hospital Appointments – Book, cancel or change
Get Immediate Help for Minor Injuries
Help with your GP Appointment
NHS 111 online – Get help for your Symptoms
Practice Working Rota
Referral for Further Care
NHS e-Referral Tracking
Referral to Hospital by your GP
See a Doctor or Healthcare Professional
Tests & Investigations
Access your Test Results
Blood Tests
Other Common Tests
Urine Tests
X-Rays & Scans
Who Do I See?
Clinics & Services
NHS App
Blood Donation
Clinics
Antenatal Care
Child Health Checks
Clinics we provide
Long Term Conditions
NHS Health Check aged 40 – 74
Travel Clinic & Holiday Vaccinations
Doctaly Assist — Remote Patient Monitoring
Community Phlebotomy Services
Online Services
Connect Care
Practice Services
Advocacy Service
Dementia Services
Cervical Screening
Diabetes Services
Hepatitis B Immunisation
Housebound & Older People
Home Visits
Interpreting Service
NHS Services
New Medicine Service (NMS)
Non NHS Services – Chargeable
Patient Transport Service
Texting Service
Your Health
Alcohol & Drug Services
Children’s Health
Change4Life
Children and Young People’s Services
Childline
ERIC – The Children’s Bowl & Bladder Charity
Triple P – Positive Parenting Programme
Your Guide to Childrens Coughs, Colds, Earache & Sore Throats
Disability
Autism
Action on Hearing Loss
British Deaf Association
Contact – for Families with Disabled Children
Disability Rights UK
Deaf or Hard of Hearing
Get Active with a Disability
How to Care for a Disabled Child
Learning Disability
National Autistic Society
SCOPE – Equality for Disabled People
Vision Impairment
General Health Advice
Antibiotic Awareness
Diarrhoea and Vomiting – Do’s and Don’ts
Healthcare Associated Infection
Managing an Infection
Menopause
My Live Well with Pain
Help & Support
Care & Support
Carer information
Are you a Carer?
Carers UK
Services for Carers
Age UK
Bereavement
At a Loss
Family Lives
Health Unlocked
MS Society
Orchid – Fighting Male Cancer
Penile Cancer
Same You
Shelter – England
The Motor Neurone Disease Association (MNDA)
The Pavement
The Brain Tumour Charity
Health & Wellbeing
More about Sprains and Strains
Food Allergy
Vitamin B12 or folate deficiency anaemia
Testicular Cancer – Check Yourself
Help & Support in your Area
Housing Applications
Lewisham Council
Mindkit
Palliative Care information
End of Life Care
#hellomynameis
What end of life care involves
End of life care
Together for short Lives
Cancer Support Services
Together for Short Lives
Know Who to Turn to for Your Healthcare
Accident & Emergency
Dentist
Hospitals
NHS Out of Hours Services
Optician
Pharmacist
Lifestyle Changes
Healthy Eating
Physical Activity – The Single best Medicine
Social Prescribing
Weight Management
Stop Smoking Service
Long Term Conditions
Asthma
Breast Cancer (female)
Chronic Obstructive Pulmonary Disease (COPD)
Coronary Heart Disease
Dementia
Dementia with Lewy bodies
Diabetes
Epilepsy
High Blood Pressure (Hypertension)
Osteoarthritis
Prostate Cancer
Mental Wellbeing
Depression
Dealing with a Mental Health Crisis or Emergency
Every Mind Matters
Feeling down or anxious? Beating the Blues 24/7 can help…
Healthtalk
Lifelink
Making Space
Mind – for better Mental Health
Mental Health Helplines
Mental Health – General Advice
Mental Health & Money Advice
Mental Health Issues if you’re Gay, Lesbian or Bisexual
Rethink Mental Illness
Samaritans
SANE
Time to Change
Order a Repeat Prescription
Antibiotic Use
Electronic Prescriptions
Wasted Medications
Pregnancy & Baby
Am I Pregnant?
CRY-SIS Helpline
Maternity Services Locations
Postnatal Care
Postnatal Depression
Smoking affects your Unborn Baby
Start 4 Life
Sexual Health & Sexuality
Contraceptive Advice & Sexual Health
Your Contraception Guide
Free Condoms
Gender Dysphoria
LGBT Foundation
Maria Stopes UK
Sexual and reproductive health in Lewisham
Sexually Transmitted Disease
Preventative Medicine
Annual Health Check
Flu Vaccination
HPV Vaccination
Pneumococcal vaccine
Screening Services
Shingles
Young People
Can I see the GP or Nurse on my own?
Kooth
The Mix
Youth First
Young Minds
News
Menu
Home
About Us
Baby Friendly
Primary Care Network
Contact
Contact Telephone Numbers
Friends & Family Test
Location
Opening Hours
What to do when we are closed
Patient Opinion
Signing Up For Patient Participation Group
Subject Access Request (SAR)
Send a Message
Ratings and Reviews
GP Training
Making the most of your Practice
Our Team
Allied Healthcare Staff
Doctors
Nurses
Practice Administration Team
Practice Pharmacist
Physician Associate
Patient Participation Group
Practice Policies
At the Practice
Chaperones
Chaperone Policy
Clinical Governance
Clinical Research
Consent Protocol
Disability Access
Duty of Candour
Equality and Diversity
Infection Control Statement
Named GP Policy
Non-Smoking Premises
Quality Assurance
Removal of Patients from our list
Safeguarding Children
Shared Decision Making
Social Media
Unacceptable Actions Policy
Zero Tolerance
Data
Care Data
Freedom of Information
General Practice Extraction Service (GPES)
Your NHS Data Matters
Patient Record
Accessing your Record
Access for Others
Subject Access Requests (SAR)
Data Sharing Preferences
Multi-Disciplinary Teams
The National Care Record Service (NCRS)
Choose if data from your health records is shared for research and planning
Summary Care Record
Organ Donation
Sharing your Information with Others
How we use your Data
Confidentiality
Privacy Policy
London Care Record
Online Access
Proxy Access
Patient Rights
Complaints, Compliments & Suggestions
Entitlement to NHS Treatment
Patient Advice and Liaison Service (PALS)
NHS Patient Rights
Your Rights and Responsibilities
Website Policies
Accessibility
Cookie Policy
Copyright
Disclaimer
Regulations & Governance
Care Quality Commission (CQC)
Clinical Commissioning Group
GP Earnings
The NHS Constitution for England
Teenage Friendly
Administration
Get a Sick or Fit Note
Housing Applications
Health Review Forms
Alcohol Consumption Review Form
Asthma Review Form
Blood Pressure Review Form
Breathlessness Review Form
Epilepsy Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
Smoking Review Form
Travel Risk Assessment Form
Register with us as a New Patient
Update your Personal Details Forms
Change of Contact Details Form
Register as a Carer Form
Register for Online Services Form
Communication Consent Form
Wellbeing Questionnaire
Appointments, Tests & Referrals
Appointments
Book an Appointment
Cancel an Appointment
DNA Statistics
GP Extended Access Service
Hospital Appointments – Book, cancel or change
Get Immediate Help for Minor Injuries
Help with your GP Appointment
NHS 111 online – Get help for your Symptoms
Practice Working Rota
Referral for Further Care
NHS e-Referral Tracking
Referral to Hospital by your GP
See a Doctor or Healthcare Professional
Tests & Investigations
Access your Test Results
Blood Tests
Other Common Tests
Urine Tests
X-Rays & Scans
Who Do I See?
Clinics & Services
NHS App
Blood Donation
Clinics
Antenatal Care
Child Health Checks
Clinics we provide
Long Term Conditions
NHS Health Check aged 40 – 74
Travel Clinic & Holiday Vaccinations
Doctaly Assist — Remote Patient Monitoring
Community Phlebotomy Services
Online Services
Connect Care
Practice Services
Advocacy Service
Dementia Services
Cervical Screening
Diabetes Services
Hepatitis B Immunisation
Housebound & Older People
Home Visits
Interpreting Service
NHS Services
New Medicine Service (NMS)
Non NHS Services – Chargeable
Patient Transport Service
Texting Service
Your Health
Alcohol & Drug Services
Children’s Health
Change4Life
Children and Young People’s Services
Childline
ERIC – The Children’s Bowl & Bladder Charity
Triple P – Positive Parenting Programme
Your Guide to Childrens Coughs, Colds, Earache & Sore Throats
Disability
Autism
Action on Hearing Loss
British Deaf Association
Contact – for Families with Disabled Children
Disability Rights UK
Deaf or Hard of Hearing
Get Active with a Disability
How to Care for a Disabled Child
Learning Disability
National Autistic Society
SCOPE – Equality for Disabled People
Vision Impairment
General Health Advice
Antibiotic Awareness
Diarrhoea and Vomiting – Do’s and Don’ts
Healthcare Associated Infection
Managing an Infection
Menopause
My Live Well with Pain
Help & Support
Care & Support
Carer information
Are you a Carer?
Carers UK
Services for Carers
Age UK
Bereavement
At a Loss
Family Lives
Health Unlocked
MS Society
Orchid – Fighting Male Cancer
Penile Cancer
Same You
Shelter – England
The Motor Neurone Disease Association (MNDA)
The Pavement
The Brain Tumour Charity
Health & Wellbeing
More about Sprains and Strains
Food Allergy
Vitamin B12 or folate deficiency anaemia
Testicular Cancer – Check Yourself
Help & Support in your Area
Housing Applications
Lewisham Council
Mindkit
Palliative Care information
End of Life Care
#hellomynameis
What end of life care involves
End of life care
Together for short Lives
Cancer Support Services
Together for Short Lives
Know Who to Turn to for Your Healthcare
Accident & Emergency
Dentist
Hospitals
NHS Out of Hours Services
Optician
Pharmacist
Lifestyle Changes
Healthy Eating
Physical Activity – The Single best Medicine
Social Prescribing
Weight Management
Stop Smoking Service
Long Term Conditions
Asthma
Breast Cancer (female)
Chronic Obstructive Pulmonary Disease (COPD)
Coronary Heart Disease
Dementia
Dementia with Lewy bodies
Diabetes
Epilepsy
High Blood Pressure (Hypertension)
Osteoarthritis
Prostate Cancer
Mental Wellbeing
Depression
Dealing with a Mental Health Crisis or Emergency
Every Mind Matters
Feeling down or anxious? Beating the Blues 24/7 can help…
Healthtalk
Lifelink
Making Space
Mind – for better Mental Health
Mental Health Helplines
Mental Health – General Advice
Mental Health & Money Advice
Mental Health Issues if you’re Gay, Lesbian or Bisexual
Rethink Mental Illness
Samaritans
SANE
Time to Change
Order a Repeat Prescription
Antibiotic Use
Electronic Prescriptions
Wasted Medications
Pregnancy & Baby
Am I Pregnant?
CRY-SIS Helpline
Maternity Services Locations
Postnatal Care
Postnatal Depression
Smoking affects your Unborn Baby
Start 4 Life
Sexual Health & Sexuality
Contraceptive Advice & Sexual Health
Your Contraception Guide
Free Condoms
Gender Dysphoria
LGBT Foundation
Maria Stopes UK
Sexual and reproductive health in Lewisham
Sexually Transmitted Disease
Preventative Medicine
Annual Health Check
Flu Vaccination
HPV Vaccination
Pneumococcal vaccine
Screening Services
Shingles
Young People
Can I see the GP or Nurse on my own?
Kooth
The Mix
Youth First
Young Minds
News
Search
Search
Close this search box.
Need support with a medical or admin request? Get in touch online.
Contact us online
Change of Contact Details Form
Torridon Road Medical Practice
>
Administration
>
Update your Personal Details Forms
>
Change of Contact Details Form
Change of Personal Details
First Name
*
Present Last Name
*
Email
*
Enter Email
Confirm Email
*
Confirm Email
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
I wish to inform the practice of:
*
Change of Name
Change of Address
Change of Phone Number
Change of Email Address
Change of Name
Previous Last Name
*
If your name changed due to Marriage or by Deed Poll please provide the practice with a copy of the appropriate documentation
How do you wish to be known?
*
Dr
Mr
Mrs
Miss
Ms
Other
Other
Change of Address
New address, including postcode
*
Previous address, including postcode
List any other family members, listed with the practice, moving with you
New Phone Number
New phone number
*
May we use this number to contact you by text with appointment reminders?
Yes
No
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
*
I consent to the practice collecting and storing my data from this form.
CAPTCHA
Send