Virtual PPG – Application

Virtual Patient Participation Group Application (PPG)

Virtual Patient Participation Group Application (PPG)

Application to join The lakes Medical Practice Virtual PPG and agree to the terms of the group.

Are you registered as a patient at The lakes Medical Practice? *
Age range:
How would you describe how often you attend the surgery?
Would you like to be invited to take part in video conference calls when they take place?
Agreement: Do you agree to the rules of the group, ALL boxes must be ticked by way of agreement: *