Contact Patient Group

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

Contact Form

Your Contact Details:

Name
DD slash MM slash YYYY

Do you agree to be contacted regarding this matter?

This field is for validation purposes and should be left unchanged.

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 (95.145.85.170) 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.