Comments and Suggestions Form

Please only use this form for comments about the practice and suggestions as to how we can improve our service to you.

We will not respond to forms regarding medical matters or official complaints. If your query relates to a medical matter please telephone reception, if it is a complaint please see our complaints policy.

Your comment or suggestion

Do you agree for the practice to contact you about this?

If yes, please provide your contact details below

Name

Telephone

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 and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to East Parade Surgery • Mowbray Square Medical Centre, Harrogate, Yorkshire , HG1 5AR.

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.