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Merger Feedback Form

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The aim of our merger is to enable us to pool our resources, expertise and knowledge. This will result in better access to care and improved services for all patients. We would welcome your feedback so that we can use this information towards our planning and transformation of services.

Feedback

Monitoring Questions

To help us understand the needs of our individual patients, we would like you to provide us with some additional information about yourself. This is not compulsory, however we do appreciate your response.

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Privacy Consent

This form collects personal and medical information about you and 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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