Application to Join our PPG

As a registered patient, you can use the form below to apply to join the Weeping Cross, Beaconside and John Amery Drive Surgeries 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 Ann Broadfield on 01785 662505.

Contact Address

Weeping Cross Health Centre
Bodmin Avenue,
Weeping Cross,
Stafford, ST17 0EG

01785 662505