Practice Name Address Practice Representative’s Signature & Date Signed Spa Medical Practice The Spa Medical Practice, Droitwich Health Centre, Ombersley Street, Droitwich Spa, WR9 8RD The Corbett Medical Practice Corbett Medical Practice, 36 Corbett Avenue, Droitwich Spa, Worcestershire, WR9 7BE Salters Medical Practice Salters Medical Practice, Droitwich Medical Centre, Droitwich, Worcestershire WR9 8RD Ombersley Medical Practice Ombersley Medical Centre, Main Road, Ombersley, Worcester WR9 0EL Elbury Moor Medical Centre: Elbury Moor Medical Centre, Fairfield Close, Worcester, WR4 9TX Haresfield Surgery Turnpike House Medical Centre, 37 Newtown Road, Worcester, WR5 1HG Shrubbery Avenue Surgery Berwyn House Surgery, 13 Shrubbery Avenue, Worcestershire, WR1 1QW Severn Valley Medical Practice Henwick Halt Medical Centre, 1 Ingles Drive, St John’s, Worcester, WR2 5HL St John's House Surgery St John's House Surgery, 28 Bromyard Road, Worcester, WR2 5BU Albany House Surgery Albany House Surgery, Albany Terrace, Worcester WR1 3DU Spring Gardens Group Medical Spring Gardens Health Centre, Practice Spring Gardens, Worcester WR1 2BS St Martin's Gate Surgery Dr K Solesbury and Partners, St Martin's Gate Surgery, 37 Newtown Rd, Worcester, WR5 1EZ Worcester Walk-in & Health Worcester Walk-In Health Centre Centre, Farrier House, Farrier Street, Worcester, WR1 3BH Thorneloe Lodge Surgery Thorneloe Lodge Surgery, 29 Barbourne Road, Worcester WR1 1RU Upton Surgery Dr S M A Everitt and Partners, Upton Surgery, Tunnel Hill , Upton Upon Severn, Worcester, WR8 0QL Tenbury Wells Surgery Tenbury Wells Surgery, 34 Teme St, Tenbury Wells, Worcester, WR15 8AA Malvern Health Centre Prospect View, 300 Pickersleigh Road, Malvern, WR14 2GP New Court Surgery New Court Surgery, Prospect View, 300 Pickersleigh Road, Malvern, WR14 2G Link End Surgery Link End Surgery, 39 Pickersleigh Road, Malvern, Worcestershire, WR14 2RP St Saviours Surgery St Saviours Surgery, Merick Road, Malvern Link, WR14 1DD Whiteacres Medical Centre Whiteacres Medical Centre, Maple Road, Malvern, Worcester, WR14 1GQ Abbottswood Medical Centre Abbottswood Medical Centre, Defford Road, Pershore, Worcestershire WR10 1HZ Pershore Medical Practice Pershore Medical Practice, Queen Elizabeth House, Queen Elizabeth Drive, Pershore, Worceste, WR10 1PX Knightwick Surgery The Surgery, Bromyard Rd, Knightwick, Worcester WR6 5PH Great Witley Surgery The Surgery, Worcester Road, Great Witley, Nr Worcester, WR6 6HR DeMontford Medical Centre De Montfort Medical Centre Burford Road, Evesham, Worcestershire, WR11 3HD Abbey Medical Practice Abbey Medical Practice, Abbey Lane, Evesham WR11 4BS Riverside Surgery Riverside Surgery, Waterside Evesham, Worcestershire WR11 1JP Merstow Green Medical Merstow Green Medical Practice Practice Abbey Lane, Evesham WR11 4BS Barn Close Surgery Barn Close Surgery, 38-40 High Street, Broadway, Worcestershire WR12 7DT Bredon Hill Surgery Bredon Hill Surgery, Main Road, Bredon, Tewkesbury, GL20 7QN Grey Gable Surgery: Locality to be determined