Water Street, Stafford, ST16 2AG

    Telephone: 01785 258 348
    Out of hours: 111

    Application to Join our PPG

    As a registered patient, you can use the form below to apply to join the Mill Bank Surgery 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 our Practice Manager on 01785 258 348.

    Mill Bank Surgery
    Water Street
    Stafford
    ST16 2AG
    Telephone: 01785 258 348 (four lines)