Reception – 01424 755355 option 3

Join our PPG

All you will be asked to do is reply to some short questions occasionally and meet with us up to 10 times a year.

We would like to gather as many patients as possible for this group so that we get a good representation of patients. So whether you are young or old, working or not working, healthy or have long term conditions, we want to hear from you all.

If you are happy for us to contact you by email please complete the online form below.

All prospective members will need to read the Beaconsfield Road Surgery Patient Participation Group Confidentiality Policy, Conflict of Interest and Declaration Agreement for Volunteers and you will be required to sign the consent form with the Chairperson before you come to your first PPG group meeting.

PPG Confidentiality and conflict of interest policy and consent form

Join our PPG

  • Additional information

    This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice.
  • Ethnicity

    To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with?
  • Thank you

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