Feedback form

Please fill in this form to send your feedback to the practice.

If you just want to give me private feedback about your treatment please select ‘I don’t want my feedback to appear on this website’ before you submit this form.

If you would like me to include your feedback on this website, how would you like it to appear?
Your email address will be used to confirm your details but will not appear on the site.
Unless you have selected the option ‘I don’t want my feedback to appear on this website’, when you send this form you are giving me your permission to use your comments on my Feedback page. Please do not press ‘Send your feedback’ unless you are happy for me to do so.
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Sessions can be booked by telephoning the practice on

01372 275823

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