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Join Patient Reference Group

Kenmore Medical Centre would like to set up a Patient Reference Group to encourage patients to give their views about how the practice is doing. They would like to be able to ask the opinions of as many patients as possible and are asking if people would like to provide their email addresses so that they can contact you by email every now and then to ask you a question or two.

Are you interested in leaving your email contact details?

If you could fill in this quick form we will pass the details to our Patient Reference Group representative Claire Reid here at Kenmore Medical Centre.

Your contact details will only be used for this purpose and will be kept safely.

Join Patient Reference Group

*if you wish to receive text message alerts to remind you of appointments please put down your mobile number

This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice

Thank you.

Please note that no medical information or questions will be responded to. 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.


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.


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