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Patient Reference Group

download the pdf formPatient Group DES Report 2013

We have a Patient Reference Group to help us plan future changes to the Practice.

If you are interested in joining the group please email us on Sppg@nhs.net"> stating your name and first line of address.

We will not respond to any medical questions via this email.

We will store your email address in an email group but it will not be shared with anyone outside the surgery, not even with other members of the group unless you specifically ask.

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 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


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.

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