By submitting this form and joining PatientVoices, I confirm that I am a patient of Peartree or Moors Walk surgeries and I understand and agree that:
1. I will receive emails from PatientVoices relating to the registration process.
2. I will receive regular emails about PatientVoices and the practice, as well as emails about other health-related items which may be of interest.
3. My personal details will only be used for the above purposes and not divulged to any third party, unless required by law.
4. Data from the limited, optional demographic questions will be used to understand the diversity of our membership. If provided, it may be shared anonymously with the practice and the NHS.
5. I may unsubscribe from the mailing list at any stage. However by doing so, I will no longer be a member of PatientVoices.
IN ADDITION:
6. I will review the PatientVoices constitution and follow the code of conduct. These are available on the practice website and a link will be sent to me during registration.
7. I am entitled to attend any PatientVoices meetings.
8. I am entitled to vote in the committee elections and to stand for election to the committee at the AGM.
9. If I cease to be a patient of the practice, I will no longer be a member of PatientVoices.
PLEASE CLICK ON THE BUTTON BELOW TO REGISTER.