Comments and Suggestions Form


We have over 500 patients with same or similar names. To avoid mix-ups, please include the full name and date of birth for all information concerning patients. Emails about patients will be returned to the sender for this information where it is omitted.

Medical matters cannot be dealt with via this form. If you have a query regarding a medical matter please phone the surgery to arrange to speak to the appropriate person.
What kind of comment would you like to send? Remember this form is not for medical matters.
What would you like to say?

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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 () 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.