PLEASE NOTE: THIS FORM IS FOR SUGGESTIONS ONLY AND SHOULD NOT INCLUDE ANY PERSONAL MEDICAL DETAILS, NOR REQUESTS FOR MEDICAL APPOINTMENTS, PRESCRIPTIONS OR ANYTHING ELSE THAT RELATES TO YOUR OWN MEDICAL RECORD.
PLEASE CONTACT THE SURGERY BY 'PHONE IF YOUR ENQUIRY IS TO DO WITH YOUR MEDICAL CIRCUMSTANCES.
We welcome suggestions from Patients to improve the service that we provide from the Surgery.
Please give your comments below together with your contact details, this will enable us to clarify the comments you make and also keep you posted of the outcome.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.