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Our Patient Reference Group (PRG) was started at the end of 2011 and now has over 90 members! We are delighted with the response from our patients and want to continue working with you in this way. New members are always welcome - just complete the sign up form below if you would like to join us.

Members of the PRG will be emailed from time to time to ask for their help with  things like the annual Patient Participation Survey, services and improvements, quality of care or service.  We aim to keep our emails and questions as succinct as possible so it shouldn’t take too much of your time.

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

Please note that no medical information or questions will be responded to. 

Your email address will be kept confidential and will not be given to anyone else.


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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