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patient survey

City Health Care Partnership CIC is looking for patients registered at our four GP Surgeries in Hull to become members/virtual members of a Patient Participation Group.

If you are a registered patient at Kingston Medical Centre, Riverside Medical Centre, The Quays or The Calvert Practice and would be interested in helping to shape future services, comment on existing ones and be a friend of the practice…then please contact your practice reception for further details. We look forward to hearing from you.

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

complete the 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

 

            Virtual Group Contact 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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