Patient Participation Group
Our current group consists of 6 members, 5 female and 1 male with an age range of 20-71. We are always looking for new members to join so we can create a wide range of views from different back grounds.
If you are interested in becoming a member of our group please contact Ann Cullen, Practice Manager, Colby Medical Centre or alternatively you can ask at reception for details.
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.