{"id":5909,"date":"2019-02-27T11:56:58","date_gmt":"2019-02-27T11:56:58","guid":{"rendered":"http:\/\/www.igmedical.co.uk\/?page_id=5909"},"modified":"2023-07-03T10:35:28","modified_gmt":"2023-07-03T10:35:28","slug":"change-of-address-2","status":"publish","type":"page","link":"https:\/\/www.igmedical.co.uk\/index.php\/change-of-address-2\/","title":{"rendered":"Change of address"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-84rlut-72fc4e62fb4d80e82869352506d09cf6 entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_section  avia-builder-el-first   container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5hmr3p-0d8a7c8479335deb0252f06793d7b729\">\n.flex_cell.av-5hmr3p-0d8a7c8479335deb0252f06793d7b729{\nvertical-align:middle;\nheight:200px;\nmin-height:200px;\npadding:0px 0px 0px 0px;\nbackground:url(https:\/\/www.igmedical.co.uk\/wp-content\/uploads\/2019\/02\/change-address-header.png) 50% 50% no-repeat scroll ;\n}\n<\/style>\n<div class='flex_cell av_one_full av-5hmr3p-0d8a7c8479335deb0252f06793d7b729 no_margin  avia-builder-el-1  avia-builder-el-no-sibling  av-zero-padding avia-full-contain' ><div class='flex_cell_inner'><\/div><\/div>\n<\/div>\n<div id='av_section_1'  class='avia-section av-4x50gl-addda828191082307a18d7f42a8e040e main_color avia-section-default avia-no-border-styling  avia-builder-el-2  el_after_av_layout_row  avia-builder-el-last  avia-bg-style-scroll  container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-5909'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-24lr91-cee10396a06bba55bd8128278d34ceac\">\n.flex_column.av-24lr91-cee10396a06bba55bd8128278d34ceac{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-24lr91-cee10396a06bba55bd8128278d34ceac av_one_full  avia-builder-el-3  el_before_av_three_fourth  avia-builder-el-first  first flex_column_div av-zero-column-padding '   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-10t5gj9-ac9134f1990113cb4b9549980730f3aa\">\n#top .av-special-heading.av-10t5gj9-ac9134f1990113cb4b9549980730f3aa{\npadding-bottom:30px;\n}\n<\/style>\n<div  class='av-special-heading av-10t5gj9-ac9134f1990113cb4b9549980730f3aa av-special-heading-h1 blockquote modern-quote modern-centered  avia-builder-el-4  el_before_av_textblock  avia-builder-el-first  av-linked-heading '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Change of address<\/h1><div class='special-heading-border'><div class='special-heading-inner-border'><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-jsn5a1l6-92b131324f873c5d90fd6f307ce3e68e '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock '  itemprop=\"text\" ><p>If you have moved house please check that you are still in our <a href=\"\/wp-content\/uploads\/2019\/04\/Ilkley-Grassington-map.png\">practice area<\/a>.<\/p>\n<p>To let us know your new details simply fill in the online form below, come to reception and let us know or download and complete the change of address form below and email it to us at <a href=\"mailto:B83624.springslanemc@nhs.net\" target=\"_blank\" rel=\"noopener\">B83624.springslanemc@nhs.net<\/a><\/p>\n<\/div><\/section><br \/>\n<div  class='avia-buttonrow-wrap av-kpgwr5gd-123afafde02f0667c9535a2f08861ef7 avia-buttonrow-left  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last  '>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-46z0f9-cc770f006ca779330728e6c2c61589ff\">\n#top #wrap_all .avia-button.av-46z0f9-cc770f006ca779330728e6c2c61589ff{\nmargin-bottom:10px;\nmargin-right:10px;\n}\n<\/style>\n<a href='https:\/\/www.igmedical.co.uk\/wp-content\/uploads\/2023\/07\/IG-Medical-Change-of-Address-form-003.doc'  class='avia-button av-46z0f9-cc770f006ca779330728e6c2c61589ff avia-icon_select-yes-right-icon avia-size-large av-icon-on-hover avia-color-dark'  target=\"_blank\"  rel=\"noopener noreferrer\" ><span class='avia_iconbox_title' >Download form (Word)<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue873' data-av_iconfont='entypo-fontello'><\/span><\/a>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2952vp-a77c0e1f983a9b7f7aff8afa5a33f021\">\n#top #wrap_all .avia-button.av-2952vp-a77c0e1f983a9b7f7aff8afa5a33f021{\nmargin-bottom:10px;\nmargin-right:10px;\n}\n<\/style>\n<a href='https:\/\/www.igmedical.co.uk\/wp-content\/uploads\/2023\/07\/IG-Medical-Change-of-Address-form-003.pdf'  class='avia-button av-2952vp-a77c0e1f983a9b7f7aff8afa5a33f021 avia-icon_select-yes-right-icon avia-size-large av-icon-on-hover avia-color-dark'  target=\"_blank\"  rel=\"noopener noreferrer\" ><span class='avia_iconbox_title' >Download form (PDF)<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue873' data-av_iconfont='entypo-fontello'><\/span><\/a>\n<\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-24lr91-cee10396a06bba55bd8128278d34ceac\">\n.flex_column.av-24lr91-cee10396a06bba55bd8128278d34ceac{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-24lr91-cee10396a06bba55bd8128278d34ceac av_three_fourth  avia-builder-el-7  el_after_av_one_full  el_before_av_one_fourth  first flex_column_div av-zero-column-padding column-top-margin'   ><form action=\"https:\/\/www.igmedical.co.uk\/index.php\/change-of-address-2\/\" method=\"post\"  class=\"avia_ajax_form av-form-labels-visible   avia-builder-el-8  avia-builder-el-no-sibling   \" data-avia-form-id=\"1\" data-avia-redirect='' ><fieldset><p class='  first_form  form_element form_fullwidth' id='element_avia_1_1'><label for=\"avia_1_1\">Title <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_1_1\" class=\"select is_empty\" id=\"avia_1_1\"><option  value ='Please select'>Please select<\/option><option  value ='Mrs'>Mrs<\/option><option  value ='Mr'>Mr<\/option><option  value ='Miss'>Miss<\/option><option  value ='Ms'>Ms<\/option><option  value ='Dr'>Dr<\/option><option  value ='Prof'>Prof<\/option><option  value ='Rev'>Rev<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_2_1'><label for=\"avia_2_1\">First name(s) <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_2_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_3_1'><label for=\"avia_3_1\">Surname <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_3_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_3_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_4_1'><label for=\"avia_4_1\">Previous surname (if relevant)<\/label> <input name=\"avia_4_1\" class=\"text_input \" type=\"text\" id=\"avia_4_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_5_1'><label for=\"avia_5_1\">Date of birth <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_5_1\" class=\"avia_datepicker text_input is_empty\" type=\"text\" id=\"avia_5_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_6_1'><label for=\"avia_6_1\">NHS number (if known)<\/label> <input name=\"avia_6_1\" class=\"text_input \" type=\"text\" id=\"avia_6_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_7_1'><label for=\"avia_7_1\">Sex<\/label><select  name=\"avia_7_1\" class=\"select \" id=\"avia_7_1\"><option  value ='Please select'>Please select<\/option><option  value ='Male'>Male<\/option><option  value ='Female'>Female<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_8_1'><label for=\"avia_8_1\" class=\"textare_label hidden textare_label_avia_8_1\">Old address (including postcode) <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><textarea  name=\"avia_8_1\" class=\"text_area is_empty\" cols=\"40\" rows=\"7\" id=\"avia_8_1\" ><\/textarea><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_9_1'><label for=\"avia_9_1\" class=\"textare_label hidden textare_label_avia_9_1\">New address (including postcode) <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><textarea  name=\"avia_9_1\" class=\"text_area is_empty\" cols=\"40\" rows=\"7\" id=\"avia_9_1\" ><\/textarea><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_10_1'><label for=\"avia_10_1\">Telephone number<\/label> <input name=\"avia_10_1\" class=\"text_input \" type=\"text\" id=\"avia_10_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_11_1'><label for=\"avia_11_1\">Mobile number<\/label> <input name=\"avia_11_1\" class=\"text_input \" type=\"text\" id=\"avia_11_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_12_1'><label for=\"avia_12_1\">Email address<\/label> <input name=\"avia_12_1\" class=\"text_input \" type=\"text\" id=\"avia_12_1\" value=\"\" \/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_13_1'><label for=\"avia_13_1\">Are you a student?<\/label><select  name=\"avia_13_1\" class=\"select \" id=\"avia_13_1\"><option  value ='Please select'>Please select<\/option><option  value ='Yes'>Yes<\/option><option  value ='No'>No<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_14_1'><label for=\"avia_14_1\">Do other members of your family require a change of address? (if registered here)<\/label><select  name=\"avia_14_1\" class=\"select \" id=\"avia_14_1\"><option  value ='Please select'>Please select<\/option><option  value ='Yes (please list below)'>Yes (please list below)<\/option><option  value ='No'>No<\/option><\/select><\/p><p class='  first_form  form_element form_element_half' id='element_avia_15_1'><label for=\"avia_15_1\">Family member 1 full name<\/label> <input name=\"avia_15_1\" class=\"text_input \" type=\"text\" id=\"avia_15_1\" value=\"\" \/><\/p><p class='  form_element form_element_half' id='element_avia_16_1'><label for=\"avia_16_1\">Family member 1 date of birth<\/label> <input name=\"avia_16_1\" class=\"avia_datepicker text_input \" type=\"text\" id=\"avia_16_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_17_1'><label for=\"avia_17_1\">Family member 2 full name<\/label> <input name=\"avia_17_1\" class=\"text_input \" type=\"text\" id=\"avia_17_1\" value=\"\" \/><\/p><p class='  form_element form_element_half' id='element_avia_18_1'><label for=\"avia_18_1\">Family member 2 date of birth<\/label> <input name=\"avia_18_1\" class=\"avia_datepicker text_input \" type=\"text\" id=\"avia_18_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_19_1'><label for=\"avia_19_1\">Family member 3 full name<\/label> <input name=\"avia_19_1\" class=\"text_input \" type=\"text\" id=\"avia_19_1\" value=\"\" \/><\/p><p class='  form_element form_element_half' id='element_avia_20_1'><label for=\"avia_20_1\">Family member 3 date of birth<\/label> <input name=\"avia_20_1\" class=\"avia_datepicker text_input \" type=\"text\" id=\"avia_20_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_21_1'><label for=\"avia_21_1\">Family member 4 full name<\/label> <input name=\"avia_21_1\" class=\"text_input \" type=\"text\" id=\"avia_21_1\" value=\"\" \/><\/p><p class='  form_element form_element_half' id='element_avia_22_1'><label for=\"avia_22_1\">Family member 4 date of birth<\/label> <input name=\"avia_22_1\" class=\"avia_datepicker text_input \" type=\"text\" id=\"avia_22_1\" value=\"\" placeholder=\"DD \/ MM \/ YY\" \/><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_23_1\" class=\"hidden \" id=\"avia_23_1\" value=\"\" \/><\/p><div id='avia_24_1' class='av-recaptcha-area  first_form  form_element form_fullwidth '  data-container_class=\"\" data-custom_class=\"\" data-context=\"av_contact_form\" data-token_input=\"av_recaptcha_token\" data-version=\"avia_recaptcha_v2\" data-theme=\"light\" data-size=\"normal\" data-score=\"0.5\" data-text_to_preview=\"\" data-value=\"\"><div class=\"av-google-badge-message hidden\">This site is protected by reCAPTCHA and the Google <a href=\"https:\/\/policies.google.com\/privacy\">Privacy Policy<\/a> and <a href=\"https:\/\/policies.google.com\/terms\">Terms of Service<\/a> apply.<\/div><\/div><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Submit\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><div class=\"avia-disabled-form\">This contact form is deactivated because you refused to accept Google reCaptcha service which is necessary to validate any messages sent by the form.<\/div><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-24lr91-20f64c6a056e26e3c7efae630aa0fdd3\">\n.flex_column.av-24lr91-20f64c6a056e26e3c7efae630aa0fdd3{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-24lr91-20f64c6a056e26e3c7efae630aa0fdd3 av_one_fourth  avia-builder-el-9  el_after_av_three_fourth  avia-builder-el-last  flex_column_div av-zero-column-padding column-top-margin'   ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jsn5a1l6-093c9ba16505d6850ec11f3d2aa5f7f3\">\n.av_textblock_section.av-jsn5a1l6-093c9ba16505d6850ec11f3d2aa5f7f3 .avia_textblock{\nfont-size:13px;\n}\n<\/style>\n<section  class='av_textblock_section av-jsn5a1l6-093c9ba16505d6850ec11f3d2aa5f7f3 '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock '  itemprop=\"text\" ><h3>About this form<\/h3>\n<p>Fields marked with an asterisk are compulsory.<\/p>\n<p><strong>Documentary proof<\/strong><br \/>\nWe will require proof of name or address changes so please bring this with you on your next visit to the practice<\/p>\n<p><strong>Confidentiality<\/strong><br \/>\nBy using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy.<\/p>\n<p>Also, by sending this form you are indicating your agreement that the surgery may contact you by email or telephone to discuss the information contained in this form.<\/p>\n<p>If either of these points concerns you or you disagree in any way then you should use another method of notifying us of your change of contact details.<\/p>\n<p><strong>Personal information<\/strong><br \/>\nPersonal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.<\/p>\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/5909"}],"collection":[{"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/comments?post=5909"}],"version-history":[{"count":10,"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/5909\/revisions"}],"predecessor-version":[{"id":16495,"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/pages\/5909\/revisions\/16495"}],"wp:attachment":[{"href":"https:\/\/www.igmedical.co.uk\/index.php\/wp-json\/wp\/v2\/media?parent=5909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}