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Suggestions Form

Patient’s Name*

Date of Birth

Address 1*

Address 2

Town*

Postcode*

Patience Contact Telephone Number*

Patient Email address*

Subject*

Details of suggestion/s*

*Please make sure all Mandatory fields have been completed

*Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data *

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Are you human?*

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Complaining on Behalf of Someone Else

Please note: That Teldoc keeps strictly to the rules of medical confidentiality. If you are complaining on behalf of someone else, we need to speak to the patient first and ask that you have their permission to do so or we will need the third party consent form completed.

Other forms available

Tell Us What We Did Well

If you wish to make a compliment or make a suggestion please use the Compliment Form

Tell Us What Went Wrong

If you wish to make a complaint please use the Complaint Form

Register as Patient

Please visit our Patient Registration page and fill in the health questionnaire to register as a patient at Teldoc.

Change of Name

Please visit our Change of Name Form to update your details

More forms

Please visit the How Do I Portal for more forms

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Latest News at the Surgery

All the latest news from Shifnal & Priorslee Medical Practice, the NHS and other health services

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Vaccination Information

All the latest vaccination clinic dates and locations and latest vaccination news from Teldoc PCN and NHS

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Visit the How Do I Portal

Visit the How Do I portal for information on how to make an appointment, register at the practice and change your details

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01952 460 414

Haughton Road, Shifnal, Shropshire, TF11 8DD

Gatcombe Way, Priorslee, Telford, TF2 9GZ

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