Patient Participation Group - New Member Registration

We are pleased that you have taken an interest in joining your Practice Patient Participation Group (PPG). Please ensure you have read the PPG Terms of Reference before signing up.

Your PPG membership is subject to practice approval by our Partners. You will be asked to sign a confidentiality agreement if membership is approved.

Last Updated: 03/07/2024

PPG Member Sign-Up

Please fill in your details and a member of the practice will contact you within 7 working days to confirm the outcome of your membership request.

Your Name: *

DATE OF BIRTH *

EMAIL ADDRESS: *

MOBILE NUMBER: *

HOW WOULD YOU DESCRIBE HOW OFTEN YOU COME TO THE PRACTICE? *

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Patient Participation Group - New Member Registration

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