Kingsway Surgery

0208 756 4388

Join our PPG

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.

Alternatively, you can follow this link to download a paper copy of the PPG signup form.

Important notice: Please only complete the online form below if you are a current registered patient of the Kingsway Surgery.

Join our PPG form

  • Additional information

    This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice.
  • Ethnicity

    To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with?
  • Thank you

  • This field is for validation purposes and should be left unchanged.