PPG Comment Form

Use this form if you would like to make a comment or suggestion to be discussed in an upcoming PPG Meeting.

Last Updated: 30/07/2021

Your Details

Name

Date of Birth

How long have you been a patient of Ballards Walk or the Gore?

One year or less

Less than 5 years

Over 5 years

Over 10 years

Your comment or suggestion

What is the nature of your comment or suggestion

Clinical

Administrative

Other

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