Hilly Fields Medical Centre
172 Adelaide Avenue, Brockley, London
SE4 1JN
lew-pct.g85055-general@nhs.net
Phone No. 0208 314 5552 for Appointments - Select Option 1, Prescriptions - Select Option 2, Home Visits - Select Option 3, Test Results Between 10am & 2pm - Select Option 4, Referrals and Administration - Select Option 5........ Or use our Fax No. 0208 314 5557
To move to the next field please use the tab key as enter will submit the form and you will need to start again.
First Name
Surname
Address
Post code
Telephone
Date Of Birth
Your email address
E-mail
Please Enter Your Patient Number
Patient Number
(Which Is Located On The Right Hand Side Of The Prescription Form)
Please Enter Your Repeat Prescription Request
