Join Our Patient Representative Group

The PRG exists to help all patients and professionals and we need to increase the group of Active Members.

Please complete this form and send it back to the surgery (all information given is strictly confidential within the Practice).

To become an active member, please complete this form:

1Join Our Patient Representative Group

We look forward to welcoming you to our activities soon! - Chair, PRG

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Your Neighbourhood Professionals
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Ashton Gardens, Chadwell Heath, Romford, Essex, RM6 6RT
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