Besides our patient group we also have a virtual on-line group and we aim to gather around a hundred patients from as broad a spectrum as possible to get a truly representative sample. We need young people, workers, retired, people with long term conditions and people from all ethnic groups.
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.
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 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. Please see GP Patient Survey March 2015
Analysis of Patient Survey June Survey 2015
Analysis of Patient Survey January Survey 2016
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.