Patient Participation Group

Our Patient Participation Group is a way of encouraging patients to give their views about how The Old Dispensary is doing.  We would like to be able to find out the opinions of as many of our patients as possible and are asking if patients would provide their e-mail addresses so that we can make contact by e-mail every now and again and ask you a question or two.

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 Survey 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

Patient Suggestions

Patients can also leave suggestions by completing a suggestion slip at the surgery and putting it in our suggestion box or electronically via the 'contact us' tab above.

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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.

                                                                                                         

 

 

 

 

 

 

 

 

Contact the Patient Group with your feedback, suggestion, comment or question. Please do not use this form for complaints - these should always be directed to the Practice Manager

About This Form

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 to notify us of your comment.

Your IP address (38.107.179.210) will be sent with your communication. In rare cases where abuse or criminal activity can be shown to have taken place this may be used by the authorities to trace you.