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Broseley Medical Centre Providing NHS services
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Home > Change of Details & Patient's Forms

Change of Details & Patient's Forms

For more information about the practice you can download our practice leaflet

Please advise reception or complete the form if you change your name, address or telephone number.

Update Patient contact details (PDF, 60KB)

Update Patient contact details Large Print (PDF, 186KB)

If you like someone to contact the practice and allow them to have access to information from medical records please complete the following form

Consent Form (PDF, 200KB)

Last Updated 25 Mar 2025

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Broseley Medical Centre

Bridgnorth Road, Broseley, Shropshire, TF12 5EL

  • (01952) 882854
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