Join Our PPG - Wickham Park Surgery

Wickham Park Surgery is in the process of establishing a Patient Participation Group (PPG) to gain the views of our registered patients and ensure they are involved in decisions about the range and quality of the services provided by our practice.

If you are interested in becoming a PPG member, please submit your details using the form below. Providing this information will help us to ensure that the PPG is as representative as possible of our practice population as a whole. The information you supply will be used lawfully, in accordance with the Data Protection Act 1998.

Signing Up

Please provide your full name

Please provide your email address to sign up to the PPG mailing list.This keeps you updated on the latest meetings, minutes and newsletters.

Please tick to confirm if you are happy for your name to be shared in meeting minutes for the purposes of listing attendees, (minutes are only available to PPG members).

I am happy for my name to be shared

Please do not share my name

Preferences

I would prefer the following times for meetings:

Mornings

Afternoons

Evenings

I would prefer the following methods of meeting:

Face to face

Online

Mixture of Both

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.

I consent to my information being used for the purposes described above and wish to submit this online form to Wickham Park Surgery • 2 Manor Road, West Wickham, Kent, BR4 9PS.

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.