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Tame Valley Medical Centre Friar Park Road, Wednesbury, WS10 0JS | Tel: 0121 531 4704

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Patient Participation Group ( PPG)

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Patient Participation Group ( PPG)

Find out what the practice is up to, join in and make a difference. Your contribution will be a valuable asset to the practice.

Please complete the form below to register to our group

PPG Sign Up

Tittle *

Mr

Mrs

Miss

Ms

Other

Name *

Surname *

Email *

Telephone Number *

Postcode *

Date of Birth *

The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.

Gender *

Male

Female

Other

Your Age *

Under 16

17-24

25-34

35-44

45-54

55-64

65-74

75-84

Over 84

The ethnic background with which you most closely identify is: *

How would you describe how often you come to the practice?

Regularly

Occasionally

Very Rarely

If you are human, leave this field blank.

About Our Surgery

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This service is no longer registered with CQC

View this service's archived profile on the CQC website

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