Notify the BIR of your change of details - Australian Society of Plastic Surgeons

Home - Protecting Patient Safety - Access your Breast Implant Registry (BIR) data - Notify the BIR of your change of details

Protecting Patient Safety

Notify the BIR of your change of details

Notify the BIR of your change of details

Have you moved since registering with the BIR? Notify us of your change of address here.

BIR – change of address details

Have you had a name change since registering with the BIR? Notify us of your name change here.

BIR – change of name

Former FULL NAME*
New FULL NAME*
Date of birth*
Email*
Current address*
Name and address of current General Practitioner
Attached proof of name change (former and current). Tick all that apply:*
- Driver’s licence
- Birth certificate
- Medicare card
- Passport
- Certificate of Australian Citizenship
- Signed letter from General Practitioner verifying proof
- Other (eg utility bill showing name and address details)
File*
Max. file size: 128 MB.
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Further Information

About Specialist Plastic Surgeons

Understanding Your Procedure

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About Specialist Plastic Surgeons

Understanding Your Procedure

Questions For Your Surgeon

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