Dove River PPG Member Consent Form


Contact Us

If you wish you can contact the Patient Group with your feedback, suggestion, comment or question on the 'Contact us' page. Please do not use this form for complaints - these should always be directed to the Practice Manager

Please note if you do not tick the box that says 'Yes, I agree that you may contact me regarding this matter' you will receive no acknowledgment of your message or receive any response, however we will raise the issue with the practice.

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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