Application to Join our PPG

As a registered patient, you can use the form below to apply to join the Hednesford Medical Practice Patient Participation Group:



Male: Female:
How would you describe how often you come to the Practice?:
Regularly: Occasionally: Very Rarely:
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Terms & Conditions: By entering the code above, you also confirm that you have read and agree with the Terms and Conditions (including Privacy & Cookies Policies and Medical Disclaimer) for this website.

Do I Need to Use this Form to Join?

No, you can also apply in writing to our postal address, or call 01543 220 441 and ask to speak to our Practice Manager.

Contact Address

Hednesford Medical Practice
Hednesford Valley Health Centre,
Station Road,
Hednesford,
Staffordshire.
WS12 4DH

Telephone:
01543 220 441