Example Forms/Labels
Registration Reference Manual
C-2
Appendix C
Version: 2.13
Example: C-P11 (FP91) Form – Prescription Exemption
Reminder
Form type:
white pre-printed paper
Weatherfield Family Health Services Authority
Chief Executive: Mr. R. E. Holsworth
Jubilee House
Tel:
Weatherfield
616161
Coronation
Road
Our
ref:
FP95
(rem)(Comp)
Weatherfield
WE1 1CC
Dear
Our records show that your present prescription charges exemption certificate, details of which are shown
below, expires soon. If you wish to obtain a renewal certificate please,
(a) change any details below which are incorrect
(b) complete the application section and return this form to the address shown above.
A new certificate will then be forwarded to you
Yours
faithfully
R. E. Holsworth, Chief Executive
Application to renew a prescription charge exemption certificate
I certify that I continue to suffer from the illness specified on my original prescription charge exemption claim form
Signed................................................... Date.......................................
NHS Number
Date of Birth
Name
Address
Your present certificate, No.
expires on
Form C-P11 (comp)
Summary of Contents for 3900 Sport/P39
Page 2: ......
Page 44: ...Contents Registration Reference Manual C 42 Version 3 1 1 ...
Page 58: ...Quick Guide Registration Reference Manual Q 12 Version 2 90 ...
Page 66: ...Introduction Registration Reference Manual I 8 Section 1 Version 2 62 ...
Page 113: ...GC GP Capitation Enquiry Registration Reference Manual 6 10 Section 2 Version 2 27 ...
Page 131: ...DX Integrity Checker Monitor Registration Reference Manual 8 6 Section 2 Version 2 9 ...
Page 164: ...Registration Reference Manual NHS Number Index NI Version 2 24 Section 2 12 3 ...
Page 237: ...Registration Reference Manual Additional Details AD Version 2 95 Section 3 2 13 ...
Page 248: ...Registration Reference Manual Patient Notes PN Version 2 28 Section 3 3 11 ...
Page 272: ...N1 ONS Reconciliation Import Registration Reference Manual 5 10 Section 3 Version 2 9 ...
Page 281: ...Deductions Introduction Registration Reference Manual 1 6 Section 4 Version 2 16 ...
Page 343: ...DS Status of Pending DDRs Registration Reference Manual 7 4 Section 4 Version 2 22 ...
Page 354: ...Registration Reference Manual Analysis of DDRs DPRs DR Version 2 43 Section 4 8 11 ...
Page 362: ...RP Print Preparation Registration Reference Manual 1 8 Section 5 Version 2 82 ...
Page 400: ...LL Letter Library Registration Reference Manual 1 22 Section 6 Version 2 28 ...
Page 435: ...Letter Samples Registration Reference Manual 3 8 Section 6 Version 2 9 ...
Page 543: ...M R Status Codes Registration Reference Manual 1 8 Section 8 Version 2 72 ...
Page 566: ...Registration Reference Manual MR Screen Version 2 94 Section 8 2 23 ...
Page 574: ...UR Urgent Request Registration Reference Manual 3 8 Section 8 Version 2 27 ...
Page 582: ...M R Logged in Print Registration Reference Manual 5 4 Section 8 Version 2 27 ...
Page 642: ...Bulk Transfer Address Labels Registration Reference Manual 4 2 Section 9 Version 2 9 ...
Page 648: ...Practice Closed Lists Registration Reference Manual 10 2 Section 10 Version 2 62 ...
Page 662: ...PC C Screen Registration Reference Manual 2 14 Section 10 Version 2 15 ...
Page 669: ...Registration Reference Manual PC CH Screen Version 2 15 Section 10 3 7 ...
Page 678: ...Registration Reference Manual EL Screen Version 2 15 Section 10 4 9 ...
Page 684: ...Patient Practice GP History AH Registration Reference Manual 1 6 Section 11 Version 2 92 ...
Page 693: ...Registration Reference Manual Patient Assignment Enquiry AQ Version 2 22 Section 11 2 9 ...
Page 743: ...Interaction with the PDS Registration Reference Manual 1 50 Section 12 Version 2 88 ...
Page 751: ...PX Screen Registration Reference Manual 2 8 Section 12 Version 2 63 ...
Page 761: ...AR Screen Registration Reference Manual 3 10 Section 12 Version 2 87 ...
Page 843: ...Registration Reference Manual AJ ALNO Version 2 39 Appendix A A2 9 ...
Page 905: ...AJ DEPL Registration Reference Manual A6 10 Appendix A Version 2 39 ...
Page 965: ...AJ GRED Registration Reference Manual A14 6 Appendix A Version 2 74 ...
Page 1006: ...AJ NHST Registration Reference Manual Appendix A A18 10 Version 2 74 ...
Page 1035: ...Figure 11 AJ OSMR Bar Codes Print 1 ...
Page 1036: ...Figure 12 AJ OSMR Bar Codes Print 2 ...
Page 1061: ...AJ PDSA Registration Reference Manual A23 12 Appendix A Version 2 74 ...
Page 1087: ...AJ PRAC Registration Reference Manual A27 8 Appendix A Version 3 1 1 ...
Page 1095: ...AJ PREC Registration Reference Manual A26 8 Appendix A Version 2 74 ...
Page 1117: ...AJ RIC Registration Reference Manual A30 4 Appendix A Version 2 74 ...
Page 1132: ...AJ SAP Registration Reference Manual A32 6 Appendix A Version 2 74 ...
Page 1258: ...Glossary Registration Reference Manual G 6 Glossary Version 2 13 ...