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Ashfield Road Surgery
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Feedback for the Practice

We appreciate any feedback about the service we provide. Please complete the form below for any comments or suggestions.

This form should not be used for complaints. If you have a complaint contact the practice for the complaints procedure.

You can complete the form below anonymously, but please ensure that you provide your details if you would be happy for us to contact you.


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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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