Patient Comments Or Suggestions Form

Please use the form below to inform us of your comments or suggestions.

    Your Name (required)

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    Suggestion or Complaint Title

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    providing as much detail as possible

    CONFIDENTIALITY - TERMS AND CONDITIONS:
    The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

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