Contact Us Contact the Patient Group with your feedback, suggestion, comment or question. Please do not use this form for complaints - these should always be directed to the Practice Manager Message Name Email Telephone Date of Birth Do you agree to be contacted regarding this matter? Yes I agree that you may contact me regarding this matterNo Send 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.
