We are inviting patients to join our ‘digital’ electronic Patient Participation Group, and our ‘dace-to-face’ patient group. The group completes a series of surveys on Practice services during the course of a year (not too many!!) and will also be asked for opinions on changes proposed in the way the Practice works from time to time.
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.
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.