Application to Join our PPG

As a registered patient, you can use the form below to apply to join the The Hamilton 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 our Practice Manager on 01279 215415.

Surgery Address

The Hamilton Practice
Keats House Health Centre
Bush Fair
Harlow
Essex
CM18 6LY

Telephone:
01279 215415

Fax:
01279 645099