Patient Participation Group
Have you considered becoming an active member of the Patient Participation Group?
The group is keen to grow and to have more members. The group aims to represent the diverse patient population at The Harbours Medical Practice, so all are welcome!
The group meets on a Tuesday evening at 19:00 approximately every 2 months in the health centre, Cockenzie
If you are interested please email us at email@example.com or leave your details at reception - name, address, telephone number and email address and someone from the group will contact you.
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 Group 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
We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.
Many thanks for your assistance
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.