Comments and Suggestions Form

MEDICAL MATTERS AND COMPLAINTS CANNOT BE DEALT WITH VIA THIS FORM.

Please note that this form should only be used for general comments, suggestions about how we can improve our service to you and compliments. Please do not use this to forward any personal medical or clinical enquiries. The forms are not viewed everyday and individual responses to comments are not routinely made. Requests for prescriptions, home visits or appointments via this form will not be acted upon. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.
The practice opererates a zero tolerance policy and If abusive matter is sent via this website further action will be taken.

What kind of comment would you like to send? Remember this form is not for medical matters.
Your comment is:	Please choose an option A Suggestion Praise Regarding a Problem Other
What would you like to say?
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Your contact details
Your Name:
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Yes, I agree that the practice may contact me regarding this matter
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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 (3.145.156.250) 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.