Patient Participation Group Nomination Form

 
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Introduction

Strawberry Hill Medical Centre Patient Participation Group Nomination Form for PPG Organising Committee 2025/26.

We are keen for new patients to come on to the Patient Participation Group Organising Committee. This is a real opportunity to support the surgery and make it better for patients.

Members of the Organising Committee take part in regular meetings (4 to 6 a year) and may take on small projects of behalf of the PPG, such as developing surveys, helping with our communications with the surgery and patients, organising occasional meetings etc.

To find out more about the PPG Organising Committee please see our terms of reference on the Patient Group pages.

Patients can nominate themselves or someone else to join the committee using this form.

Please get nominations back to us via this form by Wednesday 29th January 2025.

Nominated Person Contact Details
Nominated Person
Contact information of person making the nomination if different from the above

Where there are more than 12 people who wish to join the PPG Organising Committee votes will be taken at the AGM.

Please complete and return this form by Wednesday 29th January 2025.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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