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Dear Patient,

Take our patient survey
We would like to know how we can improve our service to you and how you perceive our surgery and staff. 

To help us with this, we have a patient representation group who meet 3- 4 times each year and support the surgery at other events.

We always need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups within the group.

If you would be interested in joining the group, please complete the attached:

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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