Village Health Group – Suggestions Form Village Health Group – Suggestions Form Please select your registered branch from these options * East Leake Keyworth Ruddington Sutton Bonington Name Name First First Last Last Date of Birth * Phone * Email Comments * This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. * I consent to the practice collecting and storing my data from this form. Submit If you are human, leave this field blank.
