Merton Lodge Surgery

01507 463262

Join our PPG

We welcome enquiries from patients who would like to join our patient group.

Please complete the form below or alternatively you can download a form here and return it to the surgery.


  • 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.
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