This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

We aim to gather patients from as broad a spectrum as possible to get a truly representative sample. We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.  We will contact you via email and keep our surveys succinct so it shouldn’t take too much of your time and hold meetings in the surgery approximately every three months.  If you would prefer to just be a member of the virtual group and not attend meetings, that is ok.

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields or pick up a form in reception and return.

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

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website