Electronic Submissions
Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of registration.
Data Protection Act
Please note that we will not respond to any medical information or questions received through the survey. 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.
Virtual Patient Participation Group Sign-Up
The practice wishes to expand on our current Patient Participation “Virtual Group” in order to consult with patients from time to time. This is in addition to the Practice Patient Participation Group. If you are happy for us to contact you via e-mail please complete this form. The information you supply will help to make sure we try to consult with a representative sample of patients registered at our practice and ensure our “Virtual Group” is representative of our local community.
