The doctors and nurses and the Friends of Testvale Surgery are looking for volunteers to help us to increase the membership of our Patient Participation Group. We plan to do this mostly through small numbers of face to face meetings and e-mail communication where possible, so we will need permission from you to use your e-mail address for this purpose.

Specifically, we want patients working with the practice to:

  • Help us to improve and develop our services so they meet the needs of our patients more effectively;
  • Help us to improve communication between the practice and patients;
  • Support patients to take more responsibility for their own health;
  • Get feedback on the practice from a patients perspective through direct feedback or online surveys;
  • To get involved in specific project groups to help improve care for Carers, Dementia patients or same day “urgent” care;
  • To discuss matters important to patients;
  • To encourage patients to volunteer time to work with the Friends of Testvale Information Centre.

Can you help? Please sign up to our Patient Reference Group below:

Your Name*

Your Address*






Your Email*

Contact Phone Number (including area code).

This additional information will help to make sure we speak to a representative sample of the patients who are registered with the practice.

Your Gender*

Your Age Group*

Your Ethnic Background*

Surgery Visits*
How would you best describe how often you come to the practice?

Thank you for enrolling in our Patient Reference Group.

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.

We need to make sure you are human (and not one of those nasty internet spam machines) so, please copy the text and numbers shown into the box before you click on Send.

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