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PPG Signup Form

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All questions marked with a * are mandatory

Patient Participation Group Sign Up

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May be used to identify you

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As the PPG acts independantly to that of the surgery, we will need to pass on your contact details to enable them to get in touch

Privacy Consent

This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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Providing NHS Services

Pound House Surgery
8 The Green
Wooburn Green
Buckinghamshire
HP10 0EE

Telephone: 01628 530 997

Hawthornden Surgery
Wharf Lane
Bourne End
Buckinghamshire
SL8 5RX

Telephone: 01628 530 997

The Orchard Surgery
Station Road
Bourne End
Buckinghamshire
SL8 5QE

Telephone: 01628 530 997