Patient Reference Group
Horncastle Medical Group has a successful Patient Reference Group, however, the Practice is always looking to recruit new members. We would like to hear your views on what works, what doesn't work and what improvements you would like to see within your Practice.
We are looking to involve as many patients in the group as possible, on a voluntary basis so that we can shape and develop the services that we deliver to you. We are looking for willing volunteers that are happy to be contacted periodically to get their views and maybe attend an occasional meeting. If you have any enquiries regarding the Patient Reference Group, please contact Richard Boucher on 01507 522998 or email@example.com.
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.