Dear Patient

Would you like to have a say about the services provided at Alma Road Surgery?  We would be very interested to hear your views through our Patient Participation Group. By providing your email details we can add them to a contact list, which will mean we can contact you occasionally for feedback.

All details supplied will be kept securely and only used for the purposes of the Group.

We aim to gather patients from as broad a spectrum as possible to get a truly representative sample. We would like young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.

If you are happy for us to contact you by email please complete the form below to open the sign-up form and complete all the fields.

Patient Participation Group Registration Form

Provisional Terms of Reference

We will be in touch shortly after we receive your form to ask on what basis you would like to join the PPG. Please note that no medical information or questions will be responded to.

Please contact John, our chairman, on if you have any questions.

Many thanks for your assistance

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