We would like to know how we can improve our service to you and how you perceive our surgery and staff.
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
If you would like more information, please feel free to email the Patient Participation Group directly at firstname.lastname@example.org PLEASE NOTE THIS EMAIL ADDRESS IS MANNED BY A PATIENT AND NOT A MEMBER OF STAFF. IT SHOULD ONLY BE USED FOR COMMUNICATING WITH THE PPG AND NOT FOR ANYTHING RELATING TO YOUR MEDICAL CARE. THANK YOU.
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.