Patient Participation Group (Virtual Group)
We welcome your views and feedback on the services provided at Fairlands and Glaziers Lane Surgeries, we have an active email group which provides a useful communication channel between us and our patients/users. If you are interested in joining please send your email details to email@example.com
If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.
Complete the Patient Group Sign-up Form Online
If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.
Download the pdf version of our sign up form
We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.
Many thanks for your assistance
The information you supply us will be used lawfully, in accordance with the Data Protection Act 2018 The Data Protection Act 2018 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.