Patient Participation Group

This practice have a Patient Participation Group and would like to invite you to take part.

The purpose of this group would be to meet with doctors and members of Practice staff at the Surgery 3-4 times a year to discuss topics of mutual interest for the Practice.

It is also an opportunity for patients to make positive suggestions about the Practice and its future development.

We like to make the group represent a cross-section of our patient population and therefore would like it to include a variety of ages, abilities and ethnic backgrounds.

If you think you would be interested in joining this group, please contact the Surgery and leave your details and the practice manager will contact you.

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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