Comments, Suggestions & Complaints

The comments, complaints and suggestions made by our patients are a useful indication of the positive and negative aspects of the services offered in the practice.

Comments & Suggestions

First Name *

Last Name *

Email *

Enter Email

Confirm Email *

Confirm Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Phone Number *

Your comments & suggestions: *

I confirm that my enquiry is not urgent, and understand it may take up to 5 working days before I receive a reply.

Privacy Policy

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.

I consent to the practice collecting and storing my data from this form.

Comments, Suggestions & Complaints

Privacy Policy

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