RHG PPG Mailing List Recruitment

Subscribe To Our Newsletter

Subscribe to our newsletter and keep informed about local health issues. Your email address is only used by our Patient Participation Group (PPG) to send you our newsletter and information about local health issues. We optionally ask you to share some additional information with us, firstly a phone number so we can contact you if we can't deliver to your mailbox for some reason. Secondly, we request other personal information so that we can better provide the type of information resources likely to be useful to our readers. It is not used by any other organisation, including the Rothschild House Group. You can Unsubscribe anytime using the link included in every email. Note this service is hosted by Brevo which has no rights to use the data it hosts on our behalf. IMPORTANT - in order to complete your registration, you need to click on a link sent to the email address you used in this form. The email to you from our service provider, may have ended up in your Junk or Spam folder if it doesn't appear shortly after you complete this form. In case it doesn't appear, please email [email protected] for help. Thank you.

Enter your FIRST Name

Please enter your first name so that we can personalise your newsletters.

Enter your LAST Name

Please enter your surname to ensure your name is unique in our mailing list.

Enter your EMAIL

Please enter your email address carefully as you will need to click on a link in a follow-up email to confirm your email address, before you can receive any newsletters.

Please enter your MOBILE number, if you have one, so we can contact you if there is a problem with your email (optional).

We have had readers with full mailboxes we haven't been able to deliver newsletters to, this will allow us to inform you if that happens.

Please add your WHATSAPP number if you have one (optional)

We have had readers with full mailboxes we haven't been able to deliver newsletters to, this will allow us to inform you if that happens.

Please add your LANDLINE number if you have one (optional)

We have had readers with full mailboxes we haven't been able to deliver newsletters to, this will allow us to inform you if that happens.

Please enter the name of your usual SURGERY

Please indicate if Chapel St/Pitstone (TRHS/PRHS), The New Surgery (TNS), Markyate (MRHS), Berkhamsted (BRHS) or Other if none of these. We use this information so that we can send out any information specific to a particular surgery to the right group of patients.

I would like to join the Patient Participation Group (PPG)

Please reply YES, NO or leave blank. By replying YES, you agree to becoming a member of the Rothschild House Group PPG. In addition to the newsletter, we will email you regularly with details of our meetings, which will enable you to interact with your practice and learn first of new developments. Otherwise please enter NO. For more information see https://www.rothschildhousesurgery.co.uk/patient-group/ or email [email protected]

Where did you hear about our newsletter?

Enter your response

Please let us know whether you were forwarded a copy, saw it on a website or heard from another source

The following information is optional, but we would really appreciate your adding it to help us better understand our readers and tailor information to their needs and interests.

Please indicate your gender

Female

Male

Please indicate your age

Over 65

55-64

45-54

35-44

25-34

Under 25

How often do you contact the surgery?

Once or twice a year

Three to six times a year

More than six times a year

Not at all so far

I agree to receive your regular newsletters and important patient information and accept the data privacy statement (GDPR).

You may unsubscribe at any time using the link in every newsletter.

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