RURAL-ROTHER-FINAL-CROPPED-White-120h-300x96-1.png

Join our PPG

We welcome enquiries from patients who would like to join our patient group.

Please complete the online form below or you can download the application form here and hand into reception.

To join the Virtual Patient Group please complete this form and hand into reception.

  • 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.
  • 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?
  • Thank you

  • This field is for validation purposes and should be left unchanged.