Patient Representative Group

We are interested in involving a wide selection of our patients in the services that the Practice offers and so we would like to invite our patients to be part of an email group who we contact for their views of what the surgery offers.

We’d like this group to be a reflection of the diversity of the whole of the Practice’s patient population, with all ages, ethnic groups and sexes represented.

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

 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