PPG Sign Up

Use this service to join our Patient Participation Group to receive newsletters and invitations to contribute to the group.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • if applicable, the details of the person you are completing the form on behalf of
  • your first and last name, date of birth, sex, postcode, email and phone number

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?