Enter your change of address. You must provide all information marked with a *.

If you are using this form to provide up-to-date details of your mobile phone number or any other contact details, you need only complete the Name and Date of Birth fields, as well as the relevant new information.

Remember this form is not for medical problems.

Moving Out of the Area

If you are moving to an address outside of the practice area, you will be asked to register with another GP nearer your new address. If you move outside of the Leeds PCT area, then you will be automatically be removed from the patient list.

If you have any concerns or queries regarding this, please speak to one of our receptionists.

To find out where your nearest GP is, please contact Leeds PCT on (0113) 305 9763 or West Yorkshire Central Services Agency (WYCSA) on (0113) 295 2553.