PPG Signup Form

Please note that no medical information or questions will be responded to.

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.

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)

Patient Participation Group Sign Up

Please double check you've entered the correct email address

May be used to identify you

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.

CONTACT DETAILS

Broom Road Medical Practice
23 Broom Road
Shirley
Croydon
Surrey
CR0 8NG

Telephone: 020 8777 5511
Out-Of-Hours: 111

JOIN THE PRACTICE

Check if you are eligible to join Broom Road Medical Practice and find out about our registration process.

FRIENDS AND FAMILY TEST

The NHS want you to have the best possible experience of care. Please give your feedback.

APPOINTMENTS

All you need to know about how to make and cancel your appointment and services you and your family can access 24/7/365

Broom Road Medical Practice

Opening Times | Appointments | Contact Us