Comments and Suggestions Form

We are interested in any suggestions or comments you have about the services we provide here, and you can use this form to let us know what you think.

Please only use the form for comments about the practice and suggestions as to how we can improve our service to you. PLEASE DO NOT USE THE FORM FOR COMPLAINTS OR MEDICAL MATTERS.
What kind of comment would you like to send? Remember this form is not for medical matters.
What would you like to say?

Your contact details
Do you agree to be contacted regarding this matter?

About This Form

Note that by using this form, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your comment.

Your IP address () will be sent with your communication. In rare cases where abuse or criminal activity can be shown to have taken place this may be used by the authorities to trace you.