Patient Participation Group
The Practice wishes to have a group of patients who are willing to contribute some of their time to the development of the practice and its local health services.
We are especially keen to make sure that the group is fully representative of our patients and therefore invite anyone with an interest to enquire about joining.
We anticipate that the group will be able to interact via email with an annual meeting to attend. Arrangements can also be made for members of the group who are not able to attend in person or have access to a computer, but feel that they would like to contribute. We will ask for your thoughts or comments on new proposals, changes or results from patient surveys.
If you would be interested in joining the group, please download and complete this form and return it to the surgery and we will be in contact with you shortly.
Alternatively you may email the PPG directly via our secure email email@example.com
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 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
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.