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Dear Patient,

Take our patient survey
We would like to know how we can improve our service to you and how you perceive our surgery and staff. 

To help us with this, we have set up a patient participation group so that you can have your say. Members of this representative group will meet on a regular basis to discuss issues such as what you think about our opening times or the quality of the care or service you received.

Please contact the surgery if you wish to talk to a member of the group.

If you would like to joing this group please contact the surgery or alternatively complete the form below.

 

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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