Patient Advocates: Virtual Group Consultations
You have been nominated by your clinical team as a patient lead/advocates for virtual group consultations. We want to create a patient forum to make this clear virtual group consultations are a grassroots clinical innovation that patients co-design and champion.

Thank you for confirming by completing these questions that you are happy for us & our collaborating organisations to contact you with relevant information and what types of involvement suit you. (Consent can be withdrawn at any time by emailing

Many thanks for your involvement. We will use your skills wisely and value your input.
Forename *
Surname *
E-mail address *
(Consent can be withdrawn at any time by emailing
Your background/previous job *
I am willing to be contact about (tick all applicable): *
(Please tick all applicable). (Consent can be withdrawn at any time by emailing
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