The Kakoty Practice actively seeks the views of patients, aiming to ensure that patients are involved in decisions about the range and quality of services provided. Mrs Alison Kelly is the contact for our Practice Patient Group (email: firstname.lastname@example.org), we are also on Facebook, please follow our page The Kakoty Practice to see our updates.
We are trying to increase our Patient Group membership and would be delighted to welcome new members.
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.