Dear Patient,

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 representation group so that you can have your say.

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

Please note that no medical information or questions will be responded to.

Many thanks for your assistance

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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.