Patient Participation Group
Would you like to have a say about the services provided at The Limehouse Practice?
The Limehouse Practice would like to hear your views.
The Friends of the Limehouse Practice Patient Group are encouraging patients to become a member of the patient group and to give their views about how the practice is doing.
We would like to be able to find out the opinions of as many patients as possible and are asking if people would like to provide their contact information so we can contact you every now and again to ask you a question or two about the services we are providing.
Are you interested in leaving your contact details?
If you could fill in this quick form below and either hand it back to reception, email it to
THCCG.email@example.com or provide your details over the phone, we will add your details on to a contact list.
Your contact details will only be used for this purpose and will be kept safely.
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 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 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.