PALS contact form - The Princess Alexandra Hospital NHS Trust

Patient Advice and Liaison Service (PALS)

First name(Required)

What would you like us to call you?

Last name(Required)

Date of birth (optional)

Name of patient (if on behalf of someone else)

Email address(Required)

An email address we can contact you at.

Daytime phone number (optional)

A phone number we can contact you on.

Hospital number (optional)

Speciality (optional)

Your message(Required)

Please include as much detail as possible.

I can confirm that I have read, understood and accept the privacy policy.