Join our PPG We welcome enquiries from patients who would like to join our patient group. Name:* Title MrMrsMissMsDrProf.Rev. First Last Date of Birth:* Date Format: DD slash MM slash YYYY Contact number:*Email address:* Gender:*MaleFemaleAdditional informationHow would you describe how often you come to the practice?*RegularlyOccasionallyVery rarelyPlease outline below a little bit about yourself and why you are interested in joining the PPG:*Thank youPlease note that no medical information or questions will be responded to. 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.