Patient Participation Group Registration

All registered patients are welcome to attend any meeting of the Patient Participation Group without giving prior notice. If you are interested in hearing about the activities of the Patient Participaton Group but cannot/do not want to attend meetings please complete the form below to receive newsletters and invitations to contribute to the group activities online.

Patient Participation Group Registration - Kintbury & Woolton Hill
Please use this date format: DD/MM/YYYY
Responses we send will go to this email address
Are you:
Please select the Surgery group you would like to join: *
How would you describe how often you come to the practice?
Ethnic Background:
Age group:
Would you be willing to join our PPG (Patient Participation Group)?
Would you like to receive the minutes of our meetings via email?
Would you like to receive our PPG newsletter via email?
Would you be interested in joining the 'virtual' PRG (Patient Representation Group), where you could contribute electronically?
Do you have a special interest in a particular medical condition?
Are there any issues you would like to see on the agenda?