Comments and Suggestions Form


Please use this link to contact the surgery if you have a simple enquiry/suggestion or general feedback about the surgery. This mail is monitored by the staff on a regular basis.
Do not use this form for urgent enquiries, medical matters or for booking/cancelling appointments. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.
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.