Are you interested in finding out more about our practice and the development of health services?
The Harvey Practice is continually seeking patients to join our virtual Patient Reference Group. We are looking for people of any age, gender, ethnicity and background that would like to be involved in giving their views of the practice and any feedback or ideas they have in regards to the service we offer.
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.