Comments and Suggestions Form


IMPORTANT NOTICE - Patient use of email for correspondence purposes

Please note that currently we do not correspond with patients via the email system regarding medical matters or personal issues.

If you wish to write to a GP or practice team member, please do so using the contact details above.
What kind of comment would you like to send? Remember this form is not for medical matters.
     
What would you like to say?

Your contact details
Do you agree to be contacted regarding this matter?

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.