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Patient Participation Group Application Form

1Patient Participation Group Application Form

Please note that the PPG is run by patients of the surgery, not by the surgery itself. By submitting this form you are consenting to your information being shared with persons outside of the surgery, who are themselves patients at the surgery.


Privacy Protection

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 known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Your Neighbourhood Professionals. Just a Click Away! Lee Fletcher Funeral Services Ltd A P M Motors Sapphire Eye Care Alverstoke Garden Services Aqua Cars Ltd
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