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The Avenue Surgery Patient Group

patient surveyWe would like to know how we can improve our service to you and how you perceive our surgery and staff. 

To help us with this, we have set up a patient group so that you can have your say. We will ask the members of this representative group some questions from time to time, such as what you think about our opening times or the quality of the care or service you received. 

If you are interested in joining the group or would like to find out more, please complete the sign up form or contact the Practice Manager. If you don't have an email address, you can still join the group. 

download the pdf 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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