Feedback and complaints

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What is your name?

First name

Last name

What is your date of birth?

For example, 31 3 1980

Day

Month

Year

What is your sex?

As recorded on your medical record

Male

Female

Other

What is your postcode?

The one used to register with your GP

What is your phone number?

What is your email address?

Anyone else with access to your email account may see responses sent to you

Your Feedback:

We aim to respond within 3 working days. When this is not possible, we will get in touch as soon as reasonably practicable. Required

I confirm that my enquiry is not urgent.

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