PMP PPG Registration Form

Use this service if you are interested in joining our PPG.

By joining you will be invited to our meetings, emailed the minutes of the meetings and receive occasional other emails such as surgery updates and fundraising projects.

  • Your Contact Details

    Date of Birth
    For example, 15 3 1984

  • Information About You

    How would you describe how often you come to the practice?
    What is your age group?
    Ethnic Group

  • Contacting You

    Do you agree that this form will be passed to our PPG chair so they can contact you?
The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.
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Page last reviewed: 05 December 2025
Page created: 08 November 2026