Comments and Suggestions Form


This form is used to email the practice directly.

Please use this form if you wish to; highlight any suggestions or comments to the practice or send a complaint to the practice.

If you are filing a complaint please address it to the practice manager, you will receive acknowledgement of the email and a member of the management team will contact you directly. Alternatively please call the surgery to speak to a member of the management team on 01623 844421
What kind of comment would you like to send? Remember this form is not for medical matters.
     
What would you like to say?

Your contact details
Do you agree to be contacted regarding this matter?

About This Form

Note that by using this form, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your comment.

Your IP address () will be sent with your communication. In rare cases where abuse or criminal activity can be shown to have taken place this may be used by the authorities to trace you.