Lawn Medical Centre
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Join our Virtual Patient Participation Group Read here »

 
 

 
 
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Would you like to have a say about the services we provide?

The Lawn Medical Centre would like to hear your views.

The Practice is setting up a Patient Participation Group. Are you happy to be contacted via email, no more than 5 times a year, to give us your views?

Questions/enquiries might be about:

  • The services we provide and any proposed changes.
  • Setting our priorities for the future.
  • Helping to agree questions for wider patient surveys.

If you want to help, please fill in the details below and we will add your email address to our contact list. Please make sure all fields marked * are completed.

Name:*
Email address:*
Confirm email address:*
(just to make sure you haven't mistyped your email address)
Postcode:*

Additional information:
This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice.
 
Are you?* Male      Female 
Age group:*

To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with? *
 

How would you describe how often you come to the practice?*
 Regularly       Occasionally        Very rarely

It is important that the Patient Participation Group represents all patients and does not become a place to air personal grievances. Therefore we would ask that you agree our Code of Conduct for the Group.
Please read the Code of Conduct document linked here

I have read and agree to abide by the PPG Code of Conduct

        Note: This will clear the entire form.

Thank you very much for working with the Practice.

Please note that no medical information or questions will be responded to. The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998.The Data Protection Act 1998 gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly.

 

 
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Information on this website is for registered patients only and should not be used as a substitute for seeking advice from a GP.
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