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The Old Dispensary , 32 East Borough, Wimborne, Dorset, BH21 1PLTel: 01202 880786
Note to patients:
The website repeat prescription system is only available to existing users all new users will need to sign up for EMIS using the link below.
Our Patient Participation Group is a way of encouraging patients to give their views about how The Old Dispensary is doing. We would like to be able to find out the opinions of as many of our patients as possible and are asking if patients would provide their e-mail addresses so that we can make contact by e-mail every now and again and ask you a question or two.
If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.
Complete the Patient Survey Sign-up Form Online
If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.
Download the pdf version of our sign up form
Patients can also leave suggestions by completing a suggestion slip at the surgery and putting it in our suggestion box or by contacting us at email@example.com
The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.
Contact the Patient Group with your feedback, suggestion, comment or question. Please do not use
this form for complaints - these should always be directed to the Practice Manager
Note that by using this form, you will be sending information about yourself across
the Internet. Whilst every effort is made to keep this information secure, you should
be aware that we cannot offer any guarantees of absolute privacy. If this matter
concerns you then you should use another method to notify us of your comment.
Your IP address (188.8.131.52) will be sent
with your communication. In rare cases where abuse or criminal activity can be shown
to have taken place this may be used by the authorities to trace you.