Virtual Patient Participation Application

Virtual Patient Participation Application

  • Virtual Patient Participation Application

    Our Virtual Patient Participation Group (PPG) gives patients the opportunity to share their views and help shape the services we provide. Members may be asked to complete surveys, comment on proposed changes, or take part in discussions via email or our Facebook group.

    Age Range (optional)
    How would you like to participate?

  • About you

    The following information helps us ensure our Patient Participation Group reflects the diverse range of patients registered with our practice. Providing this information is entirely optional.
    Are you a carer? (optional)

  • Consent

    I agree to be contacted by the practice regarding Patient Participation Group activities. I understand that participation is voluntary and that my personal information will be used only for the purpose of administering the PPG in accordance with the practice's Privacy Notice.
    I consent to receiving PPG communications by email.
    I consent to being invited to join the practice’s PPG Facebook group (if selected above) (optional)
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Page last reviewed: 22 August 2026