Patient Participation Group

The Practice has a Patient Participation Group (PPG). This is a group of volunteers who meet with Practice Staff.

The purpose of the PPG is:

to help the Practice with decision making and the development of services
to help the Practice with promoting good healthcare
to help inform patients about the local area
to speak to the Practice on pateints' needs, concerns, and medical interests

If you would like to join the group, please complete this form

Your Details

Your name

Date of BirthPlease provide in the format dd/mm/yyyy, for example 18/01/1970

Are you able to provide your NHS or Patient Number?This will allow us to locate you quickly on our Patient Database.

NHS Number

E-mail Address

Postcode

Gender

Which of the following ethnic backgrounds do you most closely identify with?

How would you describe how often you come to the practice?

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Solent View Medical Practice • Manor Way, Lee-on-the-Solent , Hampshire , PO13 9JG.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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