Ellergreen Medical Centre would like to contact patients occasionally to hear what you have to say about our practice and how we can improve.
Therefore we are setting up a virtual "Patient Participation Group" so that you can have your say. We will contact members of this group via email and keep our surveys succinct so it shouldn’t take too much of your time.
All contact details will be kept safely and securely. Please note that no medical information or questions will be responded to.
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 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 version of our sign up form
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.