Patient Participation Group Contact Form

We would like to be able to get in touch with you to keep you updated with what is happening within the Practice, ask for suggestions you may have and to know of any issues you would like to raise. Please complete this form if you’re happy for us to contact you. By providing these details, you are consenting to the PPG contacting you by email [and text if a mobile number is supplied], regarding the PPG and the Practice. Your contact details will be held securely and used in accordance with the Data Protection Act 2018.  They will only be used for this purpose. 

Patient Participation Group Contact Form

Thank you for your interest in the PPG. If you have provided an email address, you will receive an email acknowledgement and all future PPG communications, including newsletters. You may unsubscribe at any time.


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Local Services, Let
Local Services, Let