Patient Reference Group

The three Practices each have a small group of interested patients in the Patient Reference Group. This group assists the Practice in agreeing areas of priority and formulating any appropriate questionnaires. Once the feedback has been received this is shared with the Patient Reference Group members in order that they can assist us in agreeing any changes to services.

This is a virtual group, by this we mean that members are contacted by email only. There will not be a requirement to attend meetings and full confidentiality will be maintained.

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

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 formDownload 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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