Waterside Medical Centre

Patient Comments Or Suggestions Form

Please Note: If you do not wish to complete the online form please ask at reception for more information on making comments or suggestions.

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

PATIENT COMMENTS OR SUGGESTIONS FORM
First Names:
Last Name:
Email Address:
Phone Number:
 
Subject:
Please write your comments or suggestions below
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.

I accept the terms and conditions above





Warwick District Council

Compass Counselling

Hald Chiropractic Clinic

Nutrional Therapist - Simon Lewis

Philip Plant - Chiropodist

Nicola Bryan-Harris: Chiropodist/Podiatrist

Euston Place Dental Practice - Tel: 01926 422509

Copyright © Oldroyd Publishing Group Limited. All rights reserved.
homeback to top