Contact the Patient Group

Contact the Patient Participation Group with your feedback, suggestion, comment or question. Please do not use this form for complaints. Complaints should always be directed to the Practice Manager.

Please do not use this service for any urgent medical queries as this service is only monitored during practice working hours on a daily basis.

Please note: If you have an urgent medical query you should telephone the surgery or contact the out of hours service by calling 111.

Contact the Patient Group

Your Contact Details:

DD slash MM slash YYYY

Do you agree to be contacted regarding this matter?

About This Form Note that by using this form, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your comment.