Patient Participation Group Registration

We realise that people are generally very busy and may not have time to come to the surgery for meetings, therefore we have formed a “virtual group” that can exchange views and participate in practice surveys time to time by email. By providing your email details we will add them to a contact list and we will send you a questionnaire periodically. The results from the questionnaires will then be collated and reported on both the surgery website and within the surgery.

Please note that no medical queries or repeat prescription requests should be sent via this form.

If you are happy for us to contact you occasionally by email please complete and submit this registration form.

Patient Participation Group Registration

Patient Participation Group Registration

Are you:
How would you describe how often you come to the practice?
Ethnic Background:
Age group: