Suggestions

Please note: The suggestions form below is NOT monitored daily and is used for practice routine meetings and improvements only. Please use this form to submit your suggestions for the practice.

Please note, your feedback is welcomed, but you will not receive acknowledgement of suggestions to the practice. Should you wish to hear back from us, please use an alternate method.

Last Updated: 12/03/2024

Your Details

Name

DATE OF BIRTH (optional)

TELEPHONE NUMBER (optional)

Email Address
FEEDBACK

YOUR FEEDBACK

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.

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