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Patient Group

The Patient Focus Group (PFG) has replaced the Patient Participation Group. This allows many more of our patients to interact with us as the primary method of communication is via text/email. There is the opportunity to be involved as much or as little as you wish. We will not bombard you, some topics are not relevant to all patients so we ensure we only contact you with appropriate subjects.

If you would like to join our group, please complete the enrolment form below and we will register your details to be part of our group. Please be assured your contact details will be kept safe.

Registration Form

 
 
 
 
(by providing this number you are consenting to us contacting you by text if necessary)
 
Are you male or female?  
What age are you?  
Which of the following best describes your ethnic background?  
Please Specify  
How would you describe how often you come to the practice?  
 
 
Are you a parent/guardian of a child under 18 years of age?  
Do you consider that you have a disability?  

The information you supply us will be used lawfully, in accordance with the Data Protection Act 2018. The Data Protection Act 2018 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.

Fields marked with an asterisk (*) are mandatory