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Dear Patient

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 set up a virtual patient representative group so that you can have your say.  We will ask members of this group some questions from time to time, such as what you think about our opening times or the quality of care or service you received.  We will contact you via email and keep our surveys short so it should not take too much of your time.

We aim to gather patients from as broad a spectum as possible to get a truly representative sample.  We need young people, worker, retirees, people with long term conditions and people from non-British ethnic groups.

If you are happy for us to contact you occassionally 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

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