Grayshott Surgery

01428 604343

Join your PPG form

We welcome enquiries from patients who would like to join our Patient Participation Group (PPG). Our aim is to make our PPG as representative of our practice population as possible through having a broad base of patient involvement and views.We encourage all Surgery patients to get involved.

Please note: By submitting this form you are giving permission to be contacted by PPG Committee.

About you

Full name(Required)
Email address(Required)

More about you

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.
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Ethnicity

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?
Not for urgent medical help(Required)
Consent(Required)
This field is for validation purposes and should be left unchanged.