Feedback Form Please only use this form for comments about the practice and suggestions as to how we can improve our service to you. Medical matters and official complaints cannot be dealt with via this form. If you have a query regarding a medical matter please telephone reception to make an appointment to see the appropriate person. What kind of comment would you like to send? Remember this form is not for medical matters. Feedback Type (required) SuggestionPraiseRegarding A ProblemOther What would you like to say? Enter your comments in the space below Your contact details Your Name Your Email (required) Your Phone Number Do you agree to be contacted regarding this matter? I agree that the practice may contact me regarding this matter 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.