PPG Application Form

Complete and submit the PPG application form below to apply for a role within the Patient Participation Group or Virtual Patient Participation Group. The PPG is an active voice for the Village Health Group and allows us to take into consideration the ideas and advice of the local community to give our patients the best care possible. Please note this is NOT a route for complaints, if you wish to make a complaint please follow the complaints procedure.

Last Updated: 18/05/2021

Your Details

Please complete this section as fully as possible so we can contact you with regards to the status of your application.






About You

Please complete the sections below to give us an idea of why the PPG could benefit from having you as part of the team.