In order for us to officially change a name on our system you will need to complete the form below and also submit proof of the name change. The type of proof depends on what detail you are changing (see chart). You can either drop in a copy of your evidence or take a photo/scan it in, submit it as a file in the form below (preferred method) or send by email to hiowicb-hsi.wistariapractice@nhs.net
Details to be changed: | Evidence Required |
Change of an adult’s forename | Deed Poll or Statutory Declaration |
Change of an adult’s surname | Marriage Certificate Civil Partnership Certificate Decree Absolute or Dissolution Order Deed Poll or Statutory Declaration |
Change of a minor’s name | Written consent of all those with parental responsibility and/or adoption certificate |