Patient Reference Group            

If anyone is interested in joining our patient reference group, please contact the practice manager at the Health Centre. We welcome your ideas and suggestions for improving our services.

If you would like to talk to one of the existing group members, they will be happy to discuss any issues. Please ask at the health centre for contacts (this can be in complete confidence, but you will understand that we do not wish to publish their personal details on our website). 

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 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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