Contact the Patient Participation Group

Your Privacy
Consent
a) By contacting Willowbrook Medical Practice you are agreeing to us storing your contact information on our secure servers.

b) We will only use your data to deal with your reason for contacting us.

c) Your data is stored on our secure NHS servers and information regarding data that is processed through our website servers can be found at https://surgeryweb.org.uk/privacy-policy/?utm_source=sendy&utm_medium=email

d) You can withdraw this consent at any time. Please contact the practice to do so.

This form collects only the information you input into it, plus the time, date and IP address you are connected to.

Unfortunately you will not be able to contact us via this form if you do not agree.
I agree to the privacy policy.
Please contact us when we are open on 01623 440018. Thank you.
Guidance
Contact the Patient Group with your feedback, suggestion, comment or question. Please do not use this form for complaints - these should always be directed to the Practice Manager.
Your message
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I would like you to contact me regarding this matter*

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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 (18.119.213.82) 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.
CommentsThis field is for validation purposes and should be left unchanged.

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Additional Information

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End of Life Care

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Patient Participation Group

Physio Self Referral

Practice Policies

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We are part of Ashfield Primary Care Network (PCN)

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Contact the Patient Participation Group

Your Privacy

Guidance

Additional Information