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virtual Patient Participation Group (vPPG )


Commencing on Monday 17th February this surgery will be conducting its annual survey as to how our patient's view us as a practice and the services that we provide.
To ensure that we receive as many responses as possible and if you would like a say in the type of services that we provide, we are asking patient's to complete the Contact form below and e-mail it back to us at:
Once you have returned the Contact form to us we will e-mail you a short questionnaire to complete.
Please be assured that none of the questions will pertain to you as individuals.  Additionally, the answers that you give us will only be used to look at various areas and where appropriate, any improvements that can be made.
No information will be shared with any outside organisations or agencies.  It will be used solely to look at the services we currently provide.
Many thanks for your assistance

*** Important*** Before proceeding, please, click here to answer one quick question (then return and complete registration below.

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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