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Feedback

Feedback
Required fields are labelled
What is your name?
What is your date of birth?
For example, 31 3 1980
What is your sex?
As recorded on your medical record
The one used to register with your GP
Anyone else with access to your email account may see responses sent to you
Is this your up to date telephone number? Required

This feedback form is not to be used to make a complaint. If you wish to make a formal complaint, please can this be put in writing and sent to School Lane Surgery directly.