Theatre Royal Surgery, 27 Theatre Street, Dereham, Norfolk, NR19 2ENTel: 01362 852 800
We are currently investigating the setting up of a "virtual" patient reference group and if you would be interested in joining this, please complete the form above. We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to. We are keen to get patients of all ages (over 16) and of varying ethnic groups to join the "virtual" panel so if you are willing to get involved we shall look forward to hearing from you.
Many thanks for your assistance.
Complete the Patient Group Sign-up Form Online
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