Update Your Details - Mercer and Hughes

Client Details Update Form

Please update your details here. This information will the be transferred to your client record. Thank you.

I want to update my...(required)

Name

Contact Details

Tick all that apply

Client Name On Record (including title and initials)(required)

Change of Name

Full Address On Record (including postcode)(required)

New Address (including postcode)

Home Telephone Number(required)

New Home Telephone Number

Mobile Telephone Number(required)

We send appointment reminders, treatment reminders and health check and vaccination reminders.

New Mobile Telephone Number

Email address(required)

We send our invoices via email as well as other information via email, including special offers and invitations to client education evenings.

If this email address doesn't match the one on file, should we update it to this one?(required)

Yes

We never sell your details to third parties

Your Contact Preferences(required)

Please send me treatment reminders (such as flea, worming, booster and appointment reminders) by email

Please send me treatment reminders (such as flea, worming, booster and appointment reminders) by text

Please send me important information (such as pre-operation instructions or receipts at my request) by email

Please send me important information (such as pre-operation instructions or receipts at my request) by text

Please send me your newsletter which contains details about special information evenings you hold and occasional treatment offers (we never sell your information to anyone else)

Please confirm how you are happy for us to contact you. Tick all that apply.

Are you human?(required)

This field should be left blank

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