Join our PPG

We are looking for patients who are interested in working with the practice to join our Patient Participation Group (PPG).

Patient Participation Groups provide patients with the opportunity to have their say in the way that local health services are delivered and an arena to suggest improvements that can be made to benefit the practice patients. PPGs provide an important link between the practice and our patients.

We will be holding a meeting on

Thursday 21 September at 1pm at the practice if you would like to attend please leave your name, email address and telephone number with the receptionist or alternatively email: Ribblesdale.MC@nhs.net

Patient participation group recruitment form

Name*
Email address*
Post code*
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.
Are you?*
- Male
- Female
Age group*
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?
What is your ethnicity?*
How would you describe how often you come to the practice?*
- Regularly
- Occasionally
- Very rarely
Thank you
Please 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.
Phone
This field is for validation purposes and should be left unchanged.

Join our PPG

Additional information

Ethnicity

Thank you