HAVE YOUR SAY
Would you like to have a say about the services provided at your surgery?
Would you like to be involved in the decisions about the quality and range of services we provide?
Do you want to be involved with deciding what new services could be provided in the future?
The group meets every two months with the Practice Manager and communicates predominantly via email. It is an opportunity for you to provide valuable feedback to the practice.
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 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 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.