Register your interest to join the PPG

All registered patients are welcome to apply to join the Patient Participation Group which meets approximately every six weeks. Please complete this form to register your interest and a member of staff will be in touch with you.

Title
Email
Date of Birth
The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.
Gender
Your Age
How would you describe how often you come to the practice?
Do you consent for this information to be passed to the independent PPG chair?