Changing my personal details

If you have recently changed your home or your work address, telephone number or e-mail, please complete the details below and return to us by fax or post. For your protection we are not able to accept a change of personal details without sight of your written signature.


Step 1 - Click here to download the form


Step 2 - Complete form by filling in the fields onscreen


Step 3 - Print out the filled in form and sign


Step 4 - Once you have completed the form please return it to us using one of the following methods:


Direct debit forms

To download our Direct Debit Instruction for UK Bank Accounts please click here.

To download our Direct Debit Instruction for Irish Bank Accounts please click here.

Contact

If you have any questions, please contact our member services consultants by e-mailing memberservices@dentistsprovident.co.uk or calling 020 7400 5710.

 

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