We have recently set up a Patient Participation Group to encourgage patients to give their views about the practice. We would like to be able to find out the opinions of a representative group of patients and are asking if people would like to provide their email addresses so we can contact you by email every now and again to ask you a question or two.
If you would like to join our group, please download and complete the following application form and send it to the surgery, or email to firstname.lastname@example.org We will then register you to be included in our group.
Your contact details will only be used for this purpose and will be kept safely.
Please note that no medical information or questions will be responded to.
PPG Registration Form