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 (Consent can be withdrawn at any time by emailing groupconsultations@bslm.org.uk)

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(Consent can be withdrawn at any time by emailing groupconsultations@bslm.org.uk)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 (Consent can be withdrawn at any time by emailing groupconsultations@bslm.org.uk)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