Enter name of your organisation
*
Please select your employing Dentist:
*
--Select--
150 Hilltop Avenue (Dental Practice), Hillside Primary Care Centre, 150 Hilltop Avenue London, Greater London, NW10 8RY
158-160 High Road Dental Practice, 158-160 High Road, London, Greater London, NW10 2PB
Angel Dental Implant Centre, 92 Chamberlayne Road, London, Greater London, NW10 3JL
Brentfield Medical Centre, 10 Kingfisher Way, London, Greater London, NW10 8TF
Cape House Dental Practice, 57& 57a Harrow Road, Wembley, Middlesex, HA9 6DG
Chichele Road (Dental Surgery), 2A Chichele Road, London, Greater London, NW2 3DA
Church Road Dental, Practice 104a Church Road, London, Greater London, NW10 9QH
Clocktower Dental, Surgery 1B Wendover Road, London, Greater London, NW10 4RX
Colindale Dental, Care Centre 263 Edgware Road, London, Greater London, NW9 6NB
Craven Park Dental, Clinic 2 Craven Park, London, Greater London, NW10 8SY
D J Shah and Associates, Willesden Dental Centre, 248 High Road, London, Greater London, NW10 2NX
Dental Practice, 165 Cricklewood Broadway, London, Greater London, NW2 3HY
Dental Practice, 98 Chamberlayne Road, London, Greater London, NW10 3JN
Dental Practice, 555 High Road, Wembley, Middlesex, HA0 2DW
Dental Practice, 229-231 Church Road, London, Greater London, NW10 9EP
Dental Surgery, 61, Kilburn High Road, London, Greater London, NW6 5SB
Dental Surgery, 807 Harrow Road, Wembley, Middlesex, HA0 2LP
Dental Surgery, 21 Stag Lane, Edgware, Middlesex, HA8 5LE
Dental Surgery, 201 Watford Road Harrow, Middlesex, HA1 3UA
Dental Surgery, 1 Dollis Hill Lane, London, Greater London, NW2 6JH
Dental Surgery 223 High Road London, Greater London, NW10 2RY
Dental Surgery, 83 High Street London, Greater London, NW10 4NT
Dental Surgery, 114 Watford Road Wembley, Middlesex, HA0 3HF
Dental Surgery, 444b High Road Wembley, Middlesex, HA9 6AH
Dental Surgery, 267a Ealing Road Wembley, Middlesex, HA0 1EU
Dental Surgery, 130 Chamberlayne Road, London, Greater London, NW10 3JR
Dental Surgery, 461 Kenton Road Harrow, Middlesex, HA3 0UN
Dental Surgery, 607 Kenton Road Harrow, Middlesex, HA3 9RT
Dental Surgery, 211 Wembley Hill Road, Wembley, Middlesex, HA9 8EL
Dental Surgery, 8 Upton Gardens Harrow, Middlesex, HA3 0DL
Dental Surgery, 47 Okehampton Road, London, Greater London, NW10 3EN
Dental Surgery, 63 Park View Road, London, Greater London, NW10 1AJ
Dental Surgery, 182 High Street, London, Greater London, NW10 4ST
Ealing Road (Dental Surgery), 258 Ealing Road, Wembley Middlesex, HA0 4QL
G N Rashid, 207 Kilburn High Road London, Greater London, NW6 7JG
Harrow Road Dental Surgery, 883 Harrow Road, Wembley, Middlesex, HA0 2RH
High Road (Dental Surgery), 97a High Road, London, Greater London, NW10 2SL
Honeypot Lane Dental Surgery, 4 Honeypot Lane, London, Greater London, NW9 9QD
Inspire Dental Care, 287 Kilburn High Road, London, Greater London, NW6 7JR
Ixia Dental, 319 Kenton Road Harrow, Middlesex, HA3 0XN
Kensal Rise Dental Practice, 90 Chamberlayne Road, London, Greater London, NW10 3JL
Kenton Road (Dental Surgery), 187 Kenton Road Harrow, Middlesex, HA3 0EY
Kilburn Dental Studio, 137 Kilburn High Road, London, Greater London, NW6 7HR
Kingsbury Dental Practice, 529 Kingsbury Road London, Greater London, NW9 9EG
MY Dental Surgery, 371 Kenton, Road Harrow, HA3 0XS
Malvern Road (Dental Surgery), 41 Malvern Road, London, Greater London, NW6 5PS
Mrs F Campbell-Barr, 116a Windermere Avenue, Wembley, Middlesex, HA9 8RB
Mrs GC Baskeran, 356 Preston Road, Harrow Middlesex, HA3 0QJ
Northwick Park Dental Practice, Northwick Park Hospital Harrow, Middlesex, HA1 3UJ
Northwick Park Hospital, Block L1, Level 4, Harrow, Greater London, HA1 3UJ
Park Avenue North Dental, 44 Park Avenue North, London, Greater London, NW10 1JY
Peace Dental Centre, 38 Chichele Road, London, Greater London, NW2 3DD
Preston Road (Dental Surgery), 288 Preston Road, Harrow, Middlesex, HA3 0QA
Queensbury Dental Surgery, 42 Queensbury Station Parade, Edgware, Middlesex, HA8 5NN
Rose Garden Dental Practice, 280 Church Lane, London, Greater London, NW9 8LU
S M HO and Associates, 21 Bridge Road, Wembley, Middlesex, HA9 9AB
Saifee Dental Care, 57 Fryent Way, London, Greater London, NW9 9NX
Sarah Burns Orthodontics, Wembley Centre for Health & Care, Wembley, Middlesex, HA0 4UZ
Soho Orthodontics, Robson Avenue, London , NW10 3RY
Surgery@102 Limited, 102 Ealing Road, Wembley, Middlesex, HA0 4TH
The Dental Practice, Dental Surgery Harrow, Middlesex, HA3 0HQ
Vita Smile 66, Station Road, London, NW10 4UA
Wembley Centre, 116 Chaplin Road Wembley Middlesex, HA0 4UZ
Wembley Orthodontic Centre, 116a Windermere Avenue, Wembley Middlesex, HA9 8RB
Willesden Dental Surgery, 229 Church Road, London, Greater London, NW10 9EP
Windmill Dental Surgery, 55 Cricklewood, Broadway, London Greater, London NW2 3JX
Please select your employing Pharmacist:
*
--Select--
Alpha Pharmacy, 193 Edgware Road The Hyde Colindale London, NW9 6LP
Andres Pharmacy, 261 Preston Road, Middlesex, HA3 0PS
Angie's Pharmacy, 96 Craven Park Road, London Harlesden, NW10 4AG
Asda Stores, Capitol Way off Edgware Road, Colindale, London, NW9 0AS
Asda Stores Ltd., 2-20 Western Road, London ParK Royal, NW10 7LW
Asda Superstore, Chalk Farm Road (off Forty Lane) Wembley Park Middlesex, HA9 9EX
Bliss Chemist, 50-56 Willesden Lane London, NW6 7SX
Boots The Chemist, 500 High Road Middlesex, Wembley, HA9 7BH
Boots The Chemist, 483-485 Kingsbury Road Kingsbury London, NW9 9ED
Brights Chemist, 118 Craven Park Road, Harlesden London, NW10 8QD
C K Pharamcy, 820 Harrow Road Wembley Middlesex, HA0 3EL
Carters Chemist, 524-526 High Road, Wembley Middlesex, HA9 7BS
Catto Chemist Ltd., 79 High St, Brent Park London, NW10 4NS
Chana Chemist, 96/98 High Street Harlesden Middlesex, NW10 4SL
Chana Chemist, Willesden Centre for Health & Care Robson Avenue London, NW10 3RY
Chana Chemist, 138 High Road Willesden London, NW10 2PJ
Churchills Pharmacy, 207 Kenton Road Harrow Middlesex, HA3 0HD
Clockwork Pharmacy, 283-285 Neasden Lane, Brent Park London, NW10 1QJ
Coopers Chemist, 144-150 High Road, Brent Park, London, NW10 2PB
Coopers Chemist, 144-150 High Road, Brent Park, London, NW10 2PB
Craig Thomson Pharmacy, 70-72 Wal Lane, Willesden London, NW2 4RA
Crystal Pharmacy, Wembley Centre For Health, And Care, 118-128 Chaplin Road, Wembley Middlesex, HA0 4UZ
Day Lewis, 271-273 Kilburn High Road London, NS6 7JR
Dollmead Ltd, 53 Chamberlayne Road Kensal Rise London, NW10 3ND
Dubison Pharmacy, 168 Church Road London, NW10 9NH
Edgars Chemist, 252 Willesden High Road London, NW10 2NY
Frank Wrenford Chemists, 234 Neasden Lane London, NW10 0AA
G. Lowe Chemist, 203 East Lane Wembley Middlesex, HA0 3NG
Gimmack Chemists Ltd., 177 Cricklewood Broadway Crickllewood London, NW2 3HT
Gimmack Chemists, 10 Station Parade, Willesden London, NW2 4NH
Globe Chemist, 78 Burnley Road, Willesden London, NW10 1EJ
Greenfields Pharmacy, 61 Chamberlayne Rd, Brent Park London, NW10 3ND
Grossman Pharmacy, Oxgate Court Parade, Coles Green Road, London, NW2 7ET
Health First Pharmacy, 95 Wembley Park Drive Wembley Middlesex, HA9 8HF
Health Pharm, 122 Windermere Ave, Wembley Middlesex, HA9 8RB
Kilburn Park Pharmacy, Kilburn Park Station Cambridge Avenue, NW6 5AD
Hyperchem Pharmacy, 34 Salusbury Road London, NW6 6NL
Hyperchem Pharmacy, 146 Willesden Lane, Willesden London, NW6 7TH
Jade Pharmacy, 204 Ealing Road, Wembley Middlesex, HA0 4QG
Jade Pharmacy, 533 Kingsbury Road London, NW9 9EG
Judds Chemist Ltd., Unit 1, 343b Stag Lane, Kingsbury, london, NW9 9AD
Karepack Pharmacy, 11 Osram Road, Wembley, HA9 7NG
Kings Pharmacy, 343 Kilburn High Road London, NW6 7QB
Leigh Pharmacy, 278 Church Lane, London, NW9 8LU
Lloyds Pharmacy, 360 Ealing Road, Wembley Middlesex, HA0 1PF
Lloyds Pharmacy, 1 Nash Way, Harrow Middlesex, HA3 0JA
Medico2u, 11 Main Drive, East Lane Business Park, Wembley Middlesex, HA9 7NA
Monkschem Ltd., 70 Harrow Road, Wembley Middlesex, HA9 6PL
Morrisons Instore Pharmacy, Honeypot Lane, off Cumberland Road , Queensbury, Middlesex, NW9 6RN
Newcare Pharmacy Ltd., 16/18 Station Parade, Willesden Green London, NW2 4NH
Niks Pharmacy, 282 Ealing Road Wembley Middlesex, HA0 4LL
Onsite Pharmacy, 8E Europa Studios Victoria Road London, NW10 6ND
Optipharm Pharmacy, 29 Bridge Road, Wembley Middlesex, HA9 9AB
Paster Pharmacy, 212 Preston Rd, Wembley Middlesex, HA9 8PB
Peace Pharmacy, 14 The Broadway, Preston Road , Wembley Middlesex, HA9 8JU
Pharmacy Requirements, A04 Atlas Business Centre/Oxgate Lane Cricklewood London, NW2 7HJ
Pharmaelite Ltd., 10 Courtenay Road East Lane, Wembley Middlesex, HA9 7ND
Queens Park Pharmacy, 67 Salusbury Road Queens Park London, NW6 6NJ
R & C Pharamcy, 5A Walm Lane London, NW2 5SJ
Rasons Pharmacy, 323 Harrow Road, Wembley Middlesex, HA9 6BA
Richards & Curtis, 9 Sidmouth Parade, Sidmouth Road Brondesbury London, NW2 5HG
Rightcare Pharmacy Ltd., 7 Park Parade, Harlesden, London, NW10 4JH
Rj's Pharmacy, 210 Ealing Road, Wembley, HA0 4QG
Rushton Pharmacy, 275-277 Preston Road, Middlesex, HA3 0PS
S & S Pharmacy, 40 Harrow Road, Wembley Middlesex, HA9 6PG
S & S Pharmacy, 23 Hillside, London, NW10 8LY
Serena Dispensing Chemist, 7 Library Parade, Craven Park Road, Harlesdon London, NW10 8SG
Shiluns Pharmacy, 3 The Parade, Sudbury Heights Avenue, Greenford Middlesex, UB6 0LZ
Shivakem Pharmacy, 12a Court Parade, Watford Road , Wembley, Middlesex, HA0 3HU
Shri Pharmacy, 511 Kingsbury Road The Hyde London, NW9 9EG
Smart Care Pharmacy Ltd., 110 Wembley Park Drive, Wembley Middlesex, HA9 8HP
Smart Pharm Ltd., Suite 18, Space House, Abbey Road, Park Royal London, NW10 7SU
Spivack Chemists 93 High Road, Willesden London NW10 2TA
Sudbury Chemist, 879 Harrow Road, Wembley Middlesex, HA0 2RH
Sudbury Court Pharmacy, 221 Watford Rd, Harrow Middlesex, HA1 3UA
Tesco In-store Pharmacy, Great Central Way, Neasden London, NW10 0TL
The Hyde Pharmacy, 213 Edgware Road London, NW9 6LR
Tyerest Ltd, Gooseacre Parade, 427 Kenton Road , Kenton Middlesex, HA3 0XY
U.N.P. Pharmacy, 552 Kingsbury Road London, NW9 9HH
Vantage Chemist, 338 Neasden Lane London Willesden, NW10 0AD
Well Kingsbury - Church Lane, 171 Church Lane London, NW9 8JS
Wembley Pharmacy, 183 Ealing Road, Wembley, Middlesex, HA0 4LW
Please select your employing Optician:
*
--Select--
4634 Colindale, Asda Opticians, Capitol Industrial Park, Capitol Way London, NW9 0AS
4688 Wembley, Asda Opticians, Forty Lane Wembley, HA9 9EX
Asap Optical Ltd T/A S Patel Opticians, 8 Kilburn Bridge, London Greater London, NW6 6HT
Ashdown & Collins Opticians, 118 Chamberlayne Road, Kensal Rise London Greater London, NW10 3JP
Boots Opticians (Wembley), 449 High Road, Wembley Middlesex, HA9 7AF
Central Vision, Opticians (Church Lane) 222 Church Lane London, NW9 8SN
Costo Wembley, Opticians Costco, 30 Second Way Wembley, Middlesex, HA9 0YJ
Cravitz Opticians, 119 Kenton Road Kenton, Harrow Middlesex, HA3 0AZ
D & H Hantman Optometrists, 206 Preston Road, Wembley Middlesex, HA9 8PA
Eye Cloud Opticians, 75 High Street London Greater London, NW10 4NS
Eye Emporium Opticians, 184 High Road Willesden London Greater London, NW10 2PB
Eyecraft Optometrists Ltd, 26 Ealing Road, Wembley Middlesex, HA0 4TL
Icare Optician, 23 Trevelyan Crescent, Harrow Middlesex, HA3 0RN
Jubilee Opticians, 6 Acton Lane, London Greater London, NW10 8TS
K J Popat Opticians, 11 High Road, London Greater London, NW10 2TE
Kensal Eyes Opticians, 1 Bridge House, Chamberlayne Road, London Greater London, NW10 3NR
Kilburn Eye Centre, (Kilburn High Road), 137 Kilburn High Road, London Greater London, NW6 7HR
Kingsbury Opticians, 528 Kingsbury Road, Kingsbury London Greater London, NW9 9HE
London 8 Domiciliary Specsavers Limited, Unit 204 Courtenay House, 10 Courtenay Road, East Lane Wembley Middlesex, HA9 7ND
Norman Hart Opticians, 6 Neasden Parade 250 Neasden Lane London Greater, London, NW10 0AA
Open Eye Opticians, 64 High Road, London Greater London, NW10 2PU
Opticalise Ophthalmic Opticians, 241-243 Preston Road, Harrow Middlesex, HA3 0PS
Optipharm (Opticians) Ltd, 29 Bridge Road, Wembley Middlesex, HA9 9AB
Oval Eyes Opticians - Kilburn High Road, 381-383 Kilburn High Road, London, NW6 7QE
Paul Simons Optician, 383 High Road, Wembley Middlesex, HA9 6AA
Sid Fiz Optique (Salusbury Road), 46 Salusbury Road, London Greater London, NW6 6NN
Specialeyes Eyecare (Willesden) 340-342 High Road, London, Greater London, NW10 2EN
Specsavers (Harlesdon), Bank Buildings, Unit 8 High Street London Greater London, NW10 4LT
Specsavers (Kingsbury, London), 514 Kingsbury Road, Kingsbury London Greater London, NW9 9HE
Specsavers (Wembley), 476 High Road, Wembley Middlesex, HA9 7BH
Stanfields Eyecare, 572 Kingsbury Road Kingsbury, London Greater London, NW9 9HJ
Tesco Opticians Brent Park (Neasdon), Great Central Way Neasdon London Greater London, NW10 0TL
Vision Eyes Opticians, 151 Cricklewood Broadway Cricklewood London Greater London, NW2 3HY
Wembley Extra, Great Central Way, London Greater London, NW10 0TL
Wiseman & Ashley Optical Centre 561 Kingsbury Road, London Greater London, NW9 9EL
Please select your employing GP Practice:
*
--Select--
Alperton | 32 Stanley Avenue Wembley HA0 4JB
Askyr Medical Centre (Hillside) | Hillside Primary Care 150 Hilltop Avenue, Harlesden NW10 8RY
Askyr Medical Centre (Preston Hill) | Preston Hill Surgery 121 Preston Hill Kenton Harrow HA3 9SN
Brampton Health Centre | 5 Brampton Road Kingsbury London NW9 9BY
Brentfield Medical Centre | 10 Kingfisher Way London NW10 8TF
Burnley Practice | Willesden Centre for Health & Care, Robson Avenue, NW10 3RY
Chalkhill Family Practice | 113 Chalkhill Road Wembley HA9 9FX
Chamberlayne Road Surgery | 124 Chamberlayne Road, London NW10 3JP
Chichele Road Surgery | 25 Chichele Road Cricklewood, NW2 3AH
Church End Medical Centre | 66 Mayo Road Church End Estate NW10 9HP
Church Lane Surgery | 282 Church Lane Kingsbury NW9 8LU
Crest | 157 Crest Road, London, NW2 7NA
Eagle Eye Surgery | 26 Eagle Road Wembley HA0 4SH
Ellis Practice | The Welford Centre, 113 Chalkhill Road Wembley, Middlesex HA0 9FX
Forty Willows Surgery | 46 Forty Lane, Wembley, Middlesex, HA9 9HA
Freuchen Medical Centre | 190 High Street Harlesden NW10 4ST
Gladstone Medical Centre | 5 Dollis Hill Lane, London , NW2 6JH
Harrow Road (The Surgery) | 260/262 Harrow Road Wembley, Middlesex HA9 6QL
Hazeldene Medical Centre | 1b Wyld Way Wembley HA9 6PW
Hilltop Medical Practice | Hillside Primary Care 150 Hilltop Avenue, Harlesden NW10 8RY
Jai Medical Center (Brent) | 19 Chichele Road, London, NW2 3AH
Jai Medical Center (Brent) | 82 Stag Lane, Edgware, HA8 5LP
Kilburn Park Medical Centre | 12 Cambridge Gardens London, NW6 5AY
Kings Edge Medical Centre | 132 Stag Lane, Kingsbury, NW9 0QP
Kingsbury Health & Wellbeing | 245 Stag Lane, Kingsbury, London, NW9 0EF
Lancelot Medical Centre | 19 Lancelot Road Wembley HA0 2AL
Lanfranc | 1-2 Lanfranc Court Greenford Road Harrow HA1 3QE
Mapesbury Medical Centre | 65 Shoot Up Hill London NW2 3PS
Neasden Medical Centre & Greenhill Park | 21 Tanfield Avenue, London, NW2 7SA
Oxgate Gardens | 81 Oxgate Gardens London NW2 8TF
Park Royal Medical Practice | Primary Care Centre, Health & Well-Being Hub, Central Middlesex Hospital, Acton Lane , London, NW10 7NS
Pearl Medical Practice | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
Peel Precinct Surgery | 3 Peel Precinct London, NW6 5RE
Premier Medical Centre | Wembley Centre for Health and Care, 116 Chaplin Road, Wembley HA0 4UZ
Preston Medical | 23 Preston Road Wembley HA9 8JZ
Preston Road Surgery | 56 Preston Road, Wembley, Middlesex, HA9 8LB
Roundwood Medical Centre | Willesden Centre for Health and Care Robson Avenue Willesden NW10 3RY
SMS Medical Centre | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
St Andrews | Greenhill Park, Greenhill Park, London, London, NW10 9AR
St George's Medical Centre | 9 Dollis Hill Lane NW2 6JH
Stanley Corner | 1-3 Stanley Avenue Wembley HA0 4JF
Staverton Medical Centre | 51 Staverton Road London, NW2 5HA
Stonebridge Practice | Hillside Primary Care Centre 150 Hilltop Avenue Harlesden NW10 8RY
Sudbury & Alperton Medical Centre | 267 Ealing Road Wembley HA0 1EU
Sudbury Surgery | Sudbury Primary Care Centre Vale Farm Watford Road Wembley HA1 3TG
Sunflower | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
The Fryent Way Surgery | 22 Fryent Way, Kingsbury, London NW9 9SB
The Law Medical Centre | 124 – 128 Harrow Road Wembley HA9
The Law Medical Centre | 9 Wrottesley Road London NW10 5UY
The Lonsdale (Branch surgery) | 307 Kilburn Lane, Queens Park London W9 3EG
The Lonsdale | 24, Lonsdale Road, London NW6 6RR
The Wembley Practice | 116 Chaplin Road, Wembley HA0 4UZ
The Willesden | 144-150 High Road, Willesden, London, NW10 2PT
Tudor House Medical Centre | 1 Chalkhill Road, Wembley Park, Middlesex, HA9 9DS
Uxendon Crescent Surgery | 1 Uxendon Crescent, Wembley, Middlesex, HA9 9TW
Walm Lane Surgery | 114 Walm Lane Willesden Green NW2 4RT
Wembley Park Drive Medical Centre | 19-21 Wembley Park Drive Wembley HA9 8HD
Willesden Green Surgery | 59 Anson Road London, NW2
Willow Tree Family Doctors | 343B Kingsbury Road London NW9 9PE
Other (please provide the name and address)
Please select your employing GP Practice:
Please select your employing Care Home:
*
--Select--
16 Balnacraig Avenue (The Leaves) - Neasden NW10 1TH
63 Eton Avenue - 63 Eton Avenue HA0 3AZ
9 Rosslyn Cresent-9 Rosslyn Crescent HA9 7NZ
Abilities Short Breaks - Preston Road - 340 Preston Road HA3 0QH
Abilities Short Breaks - Respite & Residential - 118 Salmon Street NW9 8NL
Advent Care Solutions Ltd - 120 Rosebank Avenue HA0 2TP
Barn Rise - 3 Barn Rise HA9 9NA
Birchwood Grange Nursing Home - 177 Preston Hill HA3 9UY
Boniville House - 17 Melrose Avenue NW2 4LH
Brook House - 2-6 Forty Close HA9 8UU
CareTech Community Services Limited - 237 Kenton Road-237 Kenton Road HA3 0HQ
Chalkhill Road - 125-127 Chalkhill Road HA9 9AL
Choice House - 36 - 44 Forty Avenue HA9 8JP
Clarendon Garden - 77 Clarendon Gardens HA9 7LD
Clarendon House Residential Dementia Care Home - 27 Clarendon Gardens HA9 7QW
College Road Care Home - 4 College Road HA9 8RL
Coplands Nursing Home - 1 Copland Avenue HA0 2EN
Dana House-5 Fairfields Crescent NW9 0PR
Franklyn Lodge - 58 Kings Road NW10 2BN
Franklyn Lodge - 71A District Road HA0 2LF
Franklyn Lodge - 8 Forty Lane HA9 9EB
Franklyn Lodge 9 Grand Avenue - 9 Grand Avenue HA9 6LS
Franklyn Lodge The Bungalow - Lyonpark Avenue HA0 4DN
Franklyn Lodge The Farm - House Hundred Elms Farm HA0 2NP
Holt Road - 28 Holt Road HA0 3PS
Homefield Court - 1 Central Way NW10 7AP
Jerome House - 71 Randall Avenue NW2 7SS
Jude House - 92 Randall Avenue NW2 7SU
Kenbrook - 100 Forty Avenue HA9 9PF
Kenton House - 70 Draycott Avenue HA3 0BU
Lawnfield House - Coverdale Road NW2 4DJ
Lee Valley Care Services Limited - 20 Queenscourt HA9 7QU
Matthew Residential Care Limited - 1 Milton Avenue - Kingsbury NW9 0EU
Matthew Residential Care Limited - 59 Woodgrange Avenue - Kenton HA3 0XG
Medway House - 62 Medway Gardens HA0 2RJ
Meera House Nursing Home -146-150 Stag Lane NW9 0QR
Middlesex Manor Care Home-119 Harrow Road HA9 6DQ
Milverton Road - 6 Milverton Road NW6 7AS
Mosaic House - 18 St Andrews Avenue HA0 2QD
Nisacraft 24 Fortune Gate - 24 Fortune Gate Road NW10 9RE
Ogilvy Court - 13-23 The Drive HA9 9EF
Parkside - 31 College Road HA9 8RN
Pettsgrove Care Home - 3 Pettsgrove Avenue HA0 3AF
Preston Lodge - 291 Preston Road HA3 0QQ
Princes Lodge - 268 Princes Avenue NW9 9QU
Randall House - 75 Randall Avenue NW2 7SS
Real Life Options - 96 Harrowdene Road - 96 Harrowdene Road HA0 2JF
Riverview Lodge - Birchen Grove NW9 8SE
RNID Action on Hearing Loss Brondesbury Road - 113 Brondesbury Road NW6 6RY
Spring Lake - 17 Forty Lane HA9 9EU
St Mungo's Broadway - 53 Chichester Road - St Mungo's NW6 5QW
Sudbury Care Homes Limited - 67 Sudbury Avenue HA0 3AW
Sudbury House-30 Sudbury Avenue HA0 3AR
Tanfield House - 80 Randall Avenue NW2 7SU
Towerhouse Residential Home - 11 - 12 Tower Road NW10 2HP
Tudor Gardens - 27-31 Tudor Gardens NW9 8RL
Victoria Care Centre - Acton Lane NW10 7BR
Viola House - 57-59 Castleton Avenue HA9 7QE
Willesden Court - 3 Garnet Road NW10 9HX
Woodcock Dell Avenue - 1 Woodcock Dell Avenue HA3 0PW
First Name:
*
Last Name:
*
Date of Birth:
*
NHS Number:
*
Your Registered GP Surgery (where you are a patient):
--Select--
Alperton | 32 Stanley Avenue Wembley HA0 4JB
Askyr Medical Centre (Hillside) | Hillside Primary Care 150 Hilltop Avenue, Harlesden NW10 8RY
Askyr Medical Centre (Preston Hill) | Preston Hill Surgery 121 Preston Hill Kenton Harrow HA3 9SN
Brampton Health Centre | 5 Brampton Road Kingsbury London NW9 9BY
Brentfield Medical Centre | 10 Kingfisher Way London NW10 8TF
Burnley Practice | Willesden Centre for Health & Care, Robson Avenue, NW10 3RY
Chalkhill Family Practice | 113 Chalkhill Road Wembley HA9 9FX
Chamberlayne Road Surgery | 124 Chamberlayne Road, London NW10 3JP
Chichele Road Surgery | 25 Chichele Road Cricklewood, NW2 3AH
Church End Medical Centre | 66 Mayo Road Church End Estate NW10 9HP
Church Lane Surgery | 282 Church Lane Kingsbury NW9 8LU
Crest | 157 Crest Road, London, NW2 7NA
Eagle Eye Surgery | 26 Eagle Road Wembley HA0 4SH
Ellis Practice | The Welford Centre, 113 Chalkhill Road Wembley, Middlesex HA0 9FX
Forty Willows Surgery | 46 Forty Lane, Wembley, Middlesex, HA9 9HA
Freuchen Medical Centre | 190 High Street Harlesden NW10 4ST
Gladstone Medical Centre | 5 Dollis Hill Lane, London , NW2 6JH
Harrow Road (The Surgery) | 260/262 Harrow Road Wembley, Middlesex HA9 6QL
Hazeldene Medical Centre | 1b Wyld Way Wembley HA9 6PW
Hilltop Medical Practice | Hillside Primary Care 150 Hilltop Avenue, Harlesden NW10 8RY
Jai Medical Center (Brent) | 19 Chichele Road, London, NW2 3AH
Jai Medical Center (Brent) | 82 Stag Lane, Edgware, HA8 5LP
Kilburn Park Medical Centre | 12 Cambridge Gardens London, NW6 5AY
Kings Edge Medical Centre | 132 Stag Lane, Kingsbury, NW9 0QP
Kingsbury Health & Wellbeing | 245 Stag Lane, Kingsbury, London, NW9 0EF
Lancelot Medical Centre | 19 Lancelot Road Wembley HA0 2AL
Lanfranc | 1-2 Lanfranc Court Greenford Road Harrow HA1 3QE
Mapesbury Medical Centre | 65 Shoot Up Hill London NW2 3PS
Neasden Medical Centre & Greenhill Park | 21 Tanfield Avenue, London, NW2 7SA
Oxgate Gardens | 81 Oxgate Gardens London NW2 8TF
Park Royal Medical Practice | Primary Care Centre, Health & Well-Being Hub, Central Middlesex Hospital, Acton Lane , London, NW10 7NS
Pearl Medical Practice | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
Peel Precinct Surgery | 3 Peel Precinct London, NW6 5RE
Premier Medical Centre | Wembley Centre for Health and Care, 116 Chaplin Road, Wembley HA0 4UZ
Preston Medical | 23 Preston Road Wembley HA9 8JZ
Preston Road Surgery | 56 Preston Road, Wembley, Middlesex, HA9 8LB
Roundwood Medical Centre | Willesden Centre for Health and Care Robson Avenue Willesden NW10 3RY
SMS Medical Centre | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
St Andrews | Greenhill Park, Greenhill Park, London, London, NW10 9AR
St George's Medical Centre | 9 Dollis Hill Lane NW2 6JH
Stanley Corner | 1-3 Stanley Avenue Wembley HA0 4JF
Staverton Medical Centre | 51 Staverton Road London, NW2 5HA
Stonebridge Practice | Hillside Primary Care Centre 150 Hilltop Avenue Harlesden NW10 8RY
Sudbury & Alperton Medical Centre | 267 Ealing Road Wembley HA0 1EU
Sudbury Surgery | Sudbury Primary Care Centre Vale Farm Watford Road Wembley HA1 3TG
Sunflower | Wembley Centre for Health and Care 116 Chaplin Road Wembley HA0 4UZ
The Fryent Way Surgery | 22 Fryent Way, Kingsbury, London NW9 9SB
The Law Medical Centre | 124 – 128 Harrow Road Wembley HA9
The Law Medical Centre | 9 Wrottesley Road London NW10 5UY
The Lonsdale (Branch surgery) | 307 Kilburn Lane, Queens Park London W9 3EG
The Lonsdale | 24, Lonsdale Road, London NW6 6RR
The Wembley Practice | 116 Chaplin Road, Wembley HA0 4UZ
The Willesden | 144-150 High Road, Willesden, London, NW10 2PT
Tudor House Medical Centre | 1 Chalkhill Road, Wembley Park, Middlesex, HA9 9DS
Uxendon Crescent Surgery | 1 Uxendon Crescent, Wembley, Middlesex, HA9 9TW
Walm Lane Surgery | 114 Walm Lane Willesden Green NW2 4RT
Wembley Park Drive Medical Centre | 19-21 Wembley Park Drive Wembley HA9 8HD
Willesden Green Surgery | 59 Anson Road London, NW2
Willow Tree Family Doctors | 343B Kingsbury Road London NW9 9PE
Other (please provide the name and address)
Your Registered GP Surgery (where you are a patient):
Mobile Number:
*
Email Address:
*
Home Address:
*
Do you believe you have contracted Covid 19 and are free of symptoms for 21 days or more
Yes
No
How will you be travelling to the centre?
*
--Select--
Car (please provide the vehicle registration of the car you will be travelling to us in):
Cycle
Walking
How will you be travelling to the centre?
If you are human, leave this field blank.
Submit