Patient Focus Group

BARDOC’s Patient Focus Group are looking for patients who would be interested in offering opinions, suggestions and feedback to BARDOC regarding our current and future service on a regular basis.

If you are over 16 and interested in being involved, please fill out the form below.

[md-form]

[md-text label="Your Name"]

[/md-text]

[md-text label="Your Address"]

[/md-text]

[md-text label="Your Phone Number"]

[/md-text]

[md-text label="Your Email"]

[/md-text]

[md-radio label="Attendance Type"]
Attend MeetingsRespond via Email
[/md-radio]

[recaptcha]

[md-submit][/md-submit]

[/md-form]

[md-form]

[md-text label="Your Name"]

[/md-text]

[md-text label="Your Address"]

[/md-text]

[md-text label="Your Phone Number"]

[/md-text]

[md-text label="Your Email"]

[/md-text]

[md-radio label="Attendance Type"]
Attend MeetingsRespond via Email
[/md-radio]

[recaptcha]

[md-submit][/md-submit]

[/md-form]