Wishes for Dr Wordley's Retirement
* Please use this form to send your good wishes to Dr Wordley - we will print off these messages and present them to him upon his retirement
* We may publish a selection of messages on our website with your permission
* Please note we cannot respond to any messages sent on this form
* Use of this form is subject to our privacy terms, available to view at
* To read Dr Wordley's message to you all, please visit
>>> FORM CLOSING AT 6PM ON MARCH 3, 2021 <<<
Please make sure you submit your good wishes to Dr Wordley before the above closing time, otherwise it may not be included when we present him with all your messages.
Rude or abusive messages will be deleted immediately
Name / relationship
eg, Joe Bloggs, patient
Are you happy for us to publish your message?
Yes, please provide contact details below just in case
No, proceed to submit form
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