Feedback

We are continually looking to turn our members’ feedback into real improvements in the services we provide. We use it to focus on the things that matter most to them. We would like to hear from you if you have a suggestion on how we can do things better to improve your experiences. We’d also like to hear from you if you are pleased with this new website. We’ll let the staff involved know.

Last Updated: 03/05/2022

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

FEEDBACK

YOUR FEEDBACK *

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA. *

I consent to the practice collecting and storing my data from this form.

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Cookies on the ESDaP - European Society for Dermatology and Psychiatry website

Feedback

Further Information