Get Completion Of Bformb Guidance Fp17 - England - Nhs Business Bb

This guide provides comprehensive instructions on how to fill out the Completion Of Bformb Guidance FP17 form online. It aims to support users in navigating through each section and field of the form systematically to ensure accurate submission.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the FP17 form and open it in the online editor.
2. In Part 1, enter the patient's NHS number (optional), provider name, address, and contract number. This information must be affixed using the provided stamp.
3. Indicate if the performer number is the same as the provider number by marking the appropriate box. If not, provide the 6-digit performer number responsible for treatment.
4. Proceed to Part 2. Enter the patient's surname, first forename, house number, street, city, county, postcode, sex, any previous surname, and the patient's date of birth in the specified format.
5. In Part 3, mark if the treatment is incomplete. If completed, supply the date, or provide the date of the last visit if incomplete. Ensure either 'Completion same as Acceptance Date' or 'Completion or Last Visit' is filled.
6. In Part 4, check off any relevant exemption categories that apply to the patient. This may include status related to income or age.
7. In Part 5, select the appropriate treatment band by marking the corresponding box. Ensure only one box is crossed.
8. Part 5A requires you to enter specific treatment details such as the number of teeth treated or procedures performed.
9. In Part 6, indicate if the treatment is on referral and if any repairs are required.
10. Part 7 necessitates you to enter the recommended recall interval if applicable, between 3 and 24 months.
11. Sign and date the declaration in Part 9, ensuring it is completed by the qualified dentist responsible for treatment.
12. Ensure the patient completes their declaration on the reverse side of the form, making claims for exemptions as necessary.
13. Finally, review all entered information to confirm accuracy before submitting the form.

Begin completing the Completion Of Bformb Guidance FP17 online today to ensure prompt and correct processing.