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  • 01902 783372
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Ashfield Road Surgery
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Join Patient Participation Group

The practice has a patient participation group who meet quarterly. We are constantly looking for new members to be involved in making improvements for the practice.

We are looking for a wide range of patients, young, retired, workers, mothers and fathers, people with long term medical conditions and from all ethnic backgrounds.

If you feel you would like to be involved in this – please contact Sharon Harris or Sandra Hawkes or complete the form below.

If you are happy for us to contact you occasionally by email please complete the form below.

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

Your Details
Please provide in the format dd/mm/yyyy, for example 18/01/1970
This will allow us to locate you quickly on our Patient Database.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Ashfield Road Surgery

39 Ashfield Road, Fordhouses, Wolverhampton, WV10 6QX

  • 01902 783372

Pendeford Health Centre

Whitburn Close, Pendeford, Wolverhampton, WV9 5NJ

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