Patient Participation Group Form

The Practice has a Patient Participation Group (PPG) to promote the interests of patients and the Practice.  Please note they do NOT deal with individual queries.

The PPG does not currently have any vacancies but if you would like to be on a waiting list or, from
time to time be prepared to assist the PPG in any of the following areas,
you can either complete the form online below or click here to download the form and return the completed form to the practice. 

Please only complete this form if you are interested in assisting the PPG.

1Patient Participation Group Form


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away! Cambridge Weight Plan, Coulsdon
Shotfield, Wallington, Surrey, SM6 0HY
  • Telephone 020 8669 7612
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Cambridge Weight Plan, Coulsdon
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