Patient Reference Grouppatient survey

Coachmans Medical practice has an active virtual Patient Reference Group which liaises with the partners, who run the practice, on planning and developing new services, providing information on healthcare, involvement in patient surveys and providing a communication link between the practice and the public.

New members are always welcome. Please contact our practice manager for details.

We contact the group members by e-mail from time-to-time to ask their opinion about some of current services or new ideas within the practice. We will always aim to keep our e-mailed surveys succinct so it shouldn’t take too much of your time. This is an easy way of having your say about how your practice is run, without having to commit the time in attending the meetings.

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 form 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 form 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 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.






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