Lindum Medical Practice

Join our PPG

We welcome enquiries from patients who would like to join our patient group.

Join by completing the online form below or download the application form here.

  • Additional information

    This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice.
  • Ethnicity

    To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with?
  • Thank you

    By submitting your details you are consenting to providing this information for improving our services to you. The data you supply on this form will be securely stored on our website, which is hosted by a third party. We will retain this information on the website for no longer than 7 calendar days. Your contact details will not be sold or shared with a third party. I understand I can revoke this consent at anytime by contacting the practice. Our privacy policy can be viewed on this website.
  • This field is for validation purposes and should be left unchanged.

Date published: 13th October, 2014
Date last updated: 3rd April, 2020