Patient Reference Group
If you are registered at the practice and want a say in improving the service we give and want to take part in discussion and decision making, then please consider coming along to the meetings and joining our PRG.
Click here for our Terms of Reference
To join, please let our PRG Lead Nafisa know by ringing 024 7645 7497.
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
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.