Patient Reference Group Registration

All registered patients are welcome to attend any meeting of the Patient Reference Group without giving prior notice. If you are interested in hearing about the activities of the Patient Reference Group but cannot/do not want to attend meetings please complete the form below to receive newsletters and invitations to contribute to group activities online.

Please note that we will not respond to any medical information or questions received through the survey.

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.

Patient Participation Group Registration

Patient Participation Group Registration

Section

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