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Virtual Patient Participation Grouppatient survey

We have a Virtual Patient Participation Group to encourage patients to give their views about the practice and the services we provide. 

If you would like to be part of this group that helps to shape the services provided at Wonersh Surgery, please complete the sign up form below. You will be asked to provide your email address.

Your details will only be used to contact you for this purpose and will be kept safely and separate to your medical records.

You can ask for your details to be removed at any time.

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

complete the form Complete the Patient Group Sign-up Form Online

If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.

download the pdf form Download the pdf version of our sign up form

Please note that no medical information or questions will be responded to.

Many thanks for your assistance

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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