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Patient Reference Group

The aim of this Group is be to ensure that our patients are involved in decisions about the range and quality of services provided and (in the future) commissioned by the Rookery as a member of a wider GP Commissioning Consortium.

Should you wish to join the Patient Reference Group please complete the joining form below.

When you sign up, from time to time, you will receive emails from the Practice with information and updates.  You will also be given the opportunity to complete our annual patient questionnaire which allows you to feedback fully on the service provided by the Practice. The results of these inform our yearly Action Plan which we publish on the website so that all our patients are aware of developments planned for the year ahead.  

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

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.