Application to Join our PPG

As a registered patient, you can use the form below to apply to join the Chertsey Health Centre Patient Participation Group:

Male: Female:
How would you describe how often you come to the Practice?:
Regularly: Occasionally: Very Rarely:
Please enter the code shown above:

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 01932 565655 and ask to speak to Nicole Bhattacharya.

Contact Address

Chertsey Health Centre
KT16 8HZ

01932 565655