Get Practitioner Services Gp17o Bformb Completion Guidance

Completing the GP17O form is essential for claiming various orthodontic treatments and services. This guide provides a straightforward, step-by-step approach to filling out the form accurately and efficiently, ensuring that your claims are processed smoothly.

Follow the steps to successfully complete the GP17O form online.

1. Press the ‘Get Form’ button to retrieve the GP17O form, allowing you to open it in your chosen editor.
2. In Part 1, complete the personal information section. Use black ink and block capital letters. Clearly enter the surname, first forename, date of birth (using only the last two digits of the year), sex (M or F), full address (including postcode), and previous surname if there have been changes since the last visit.
3. In Part 2, affix your dentist stamp, including your name, address, and list number. If available, also include the patient's CHI number.
4. Part 3 necessitates signatures. The left side is for the patients liable to pay for their NHS treatment. If applicable, a parent or responsible person must sign if the patient is under 16 or unable to sign themselves. The dentist completes the right side, except for Box O, which is for Practitioner Services.
5. If previous approval is needed, complete Part 4A; otherwise, leave it blank. Part 4B is filled out by Practitioner Services if the approval is granted.
6. In Part 5, the patient must sign after treatment. If the patient is not liable to pay for NHS treatment, enter 0.00.
7. Part 6 is designated for the dentist to fill out after treatment.
8. For charting, use Part 7 to indicate any teeth that are not present.
9. If claiming radiographs, complete Part 8A; for Cephalometric radiographs, use Part 8B, ensuring you provide an analysis.
10. Part 9 must be completed for all specific claims related to orthodontic treatment.
11. In Part 10, describe the treatment proposals related to claimed items.
12. Record the patient's history in Part 11 to assess treatment suitability.
13. Document the patient's oral hygiene status in Part 12.
14. Part 13 is to specify which appliances are to be used.
15. Provide details of all repairs in Part 14.
16. In Part 15, insert the IOTN score and indicate if a Consultant report is available, followed by any additional information.
17. Final review: ensure all sections are completed accurately. Save your changes, download, print, or share the form as needed.

Complete your GP17O form online today for efficient processing of your orthodontic claims.