Application to Join our PPG

As a registered patient, you can use the form below to apply to join the Bridge House Medical 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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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.

Information

Do I Need to Use this Form to Join?

No, you can also apply in writing to our postal address or email (see below), or call our Practice Manager on 0208 482 9697.

Surgery Address

Bridge House Medical Practice
96 Umfreville Road
London
N4 1TL

Telephone:

0208 482 9697
or

0208 374 0707