Update Your Next Of Kin Details

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family

Update next of kin details

Please use this form to tell us about any changes to your next of kin details.

Your next of kin is someone you would like us to contact if we need to get in touch with someone close to you. This could be a family member, partner, friend or another person you trust.

Being listed as your next of kin does not give someone legal authority to make decisions on another person's behalf.

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Your details
 
Patient's details
 
 
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Next of kin details
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Privacy Consent

This form collects personal information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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