PPG Signup Form

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All questions marked with a * are mandatory

Patient Participation Group Sign Up

Signing Up For Our Patient Participation Group

If you are happy for us to contact you periodically by email please leave your details below.

Signing up means you acknowledge that you will be allocated to your own practice’s PPG. The PRIME PPG is a network formed by four practices, and will only require attendance to the quarterly meetings if necessary and usually represented by the Chair or board members from your own group. You will continue to meet with your GP practice’s own PPG.

 
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May be used to identify you

Please note: We will not respond to any medical information or questions received through the survey.

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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As the PPG acts independantly to that of the surgery, we will need to pass on your contact details to enable them to get in touch

Privacy Consent

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Care Quality Commission
Rating: Good

Heathbridge Practice
125 Upper Richmond Road
Putney
London
SW15 2TL

Telephone: 020 8246 4070