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groupPatient Participation Group

This practice wishes to recruit a group of patients who are willing to contribute to the development of the practice and the services it provides.

We are especially keen to ensure that the group is fully representative of our patients and therefore invite anyone with an interest to enquire about joining.

Please note our patient group is only open to those who are currently registered with the practice.

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.