Patient Participation Group Sign up

 If you are interested in finding out more information about our PPG or would like to join, please complete this form 

  • Patient Participation Group sign up form

    Date of Birth
    For example, 15 3 1984
    Are you happy for the information provided above to be shared with the PPG and for a member of the group to make contact with you?
The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.
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Page last reviewed: 28 February 2024
Page created: 08 October 2026