Staines Thameside Medical, 5 Chertsey Lane, Middlesex, TW18 3JHTel: 01784 454164
The Practice welcomes feedback on our services. If you would like to participate in our patient participation group please leave your name, telephone number and/or email address at reception.
If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.
Complete the Patient Group Sign-up Form Online
If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.
Download the pdf version of our sign up form
We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.
Many thanks for your assistance
The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 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.
PPG Reporting Template 2014/15
PPG DES Annual Report 2014/15
Patient Satisfaction Survey 2014/15
View Outcomes for Patient Questionnaire 2014
View Patient Participation Direct Enhanced Service 2014
View Patient Group Report 2012-13
View Patient Survey Results 2012-13
Patient Group Report 2011-2012
Patient Survey Results 2011-2012
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