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Important- Patient Note

We can confirm that invitations to receive the COVID-19 vaccination have now started and local vaccinations are commencing this week. Invitations will initially be made via telephone and text message. Invitations will be sent gradually according to both the supply of vaccine from the NHS, and according to the priority groups set out by the Joint Committee on Vaccination & Immunisation. Please click here for our full Covid-19 vaccination update.

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Patient Participation Group

Southam Patient Participation Group allows patients to feedback constructive comments and suggestions for improvements to services provided by the practice. We have a virtual group who we contact via email and a smaller group who meet during the year.

If you would like to join our group, please complete the following application form and we will then register you to be included in our group.

Your contact details will only be used for this purpose and will be kept safe.

Registration Form

(by providing this number you are consenting to us contacting you by text if necessary)
Are you male or female?  
What age are you?  
Which of the following best describes your ethnic background?  
Please Specify  
How would you describe how often you come to the practice?  
Are you a parent/guardian of a child under 18 years of age?  
Do you consider that you have a disability?  

The information you supply us will be used lawfully, in accordance with the Data Protection Act 2018. The Data Protection Act 2018 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.

Fields marked with an asterisk (*) are mandatory