Comments and Suggestions Form

This form for is for use to request online access; make comments about the practice or the website and to make suggestions as to how we can improve our service to you.

Official complaints cannot be dealt with via this form, please see the Complaints tab on the right hand side of the screen.
Medicial matters cannot be dealt with vis this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person.
What kind of comment would you like to send? Remember this form is not for medical matters.
What would you like to say?

Your contact details
Do you agree to be contacted regarding this matter?

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.