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Take our patient survey
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 patient representation group. Members of the representative group meet with practice staff every three months to discuss ways of developing and improving the services we offer to you. If you are interested in joining the group please complete the sign-up form below. We are particularly keen to hear from parents of young children.

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 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.

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