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Patient Participation Group

We are encouraging patients to give their views about the how the Practice is doing and become involved with future plans/changes. Are you interested in becoming involved and willing for us to contact you by email?

There are some forms available on the reception desk. Once completed please hand the form back to reception. We are hoping to gather contact details from a cross section of the patient population which reflect different age/ethnicity/problem groups.

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

complete the form Complete the Patient Group Sign-up Form Online

If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.

download the pdf form Download the pdf version of our sign up form

We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.

Many thanks for your assistance


The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.

 
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