Village Health Group - Suggestions Form

Please only use this form for comments about the Practice and suggestions as to how we can improve our service to you. Medical matters and official complaints cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.

Last Updated: 24/09/2020

Disclaimer

Please only use this for comments about the Practice and suggestions as to how we can improve our service to you. Medical matters and official complaints cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.

Your Details

Please select your registered branch from these options: *

East Leake

Keyworth

Ruddington (Church House)

Sutton Bonington

Name *

Date of Birth *

Contact Number *

Email Address *

Your Comment

Comments *

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. *

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Village Health Group - Suggestions Form

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