PDF
Word
Form FP92A Application for Prescription Charge Exemption Medical - United Kingdom
What Is Form FP92A?
Form FP92A, Application for Prescription Charge Exemption (Medical) , is a formal statement prepared by patients who qualify for free United Kingdom National Health Service (NHS) prescriptions.
Alternate Name:
- FP92A Application Form.
Form FP92A cannot be downloaded online and can only be obtained through healthcare providers who also need to sign using a "wet" signature. Scanned or copied versions of the form will not be accepted by the NHS. Additional information and application guidelines can be found on the official NHS website.
If you believe you are eligible for an exemption and your request is approved, you can obtain prescriptions free of charge when presenting a certificate. This document will only apply for prescriptions related to the condition indicated during the submission - it will not cover other health expenses. Even if you have to purchase prescriptions after filing the application, you may receive an appropriate refund.
How to Fill Out Form FP92A?
Follow these guidelines to complete the FP92A Application Form:
- Indicate your medical condition. You need to tick the appropriate box - select only one illness or disability you have from the limited list. If you do not know the correct name of your illness, consult your physician before you start preparing an application. Alternatively, you may tick the box to certify you are currently treated for cancer.
- Provide your personal details. State your title, full name, mailing address, date of birth, and telephone number. Note that the address you write down in the application will be used for further correspondence with the NHS so make sure the information is correct. Record your NHS number - you can find it on your medical card.
- Confirm your intention to obtain a certificate. Verify the statements in the form are correct and complete. Sign and date the document.
Once you fill out the first two parts of the application, give it to your physician - it can be your general practitioner, service, or hospital doctor. Alternatively, with the consent of your doctor, this form can be completed by the member of their practice with access to your medical records. The doctor or their representative must state their position, confirm your eligibility for the exemption, sign, and date the application. The form must contain a doctor's stamp or their name and establishment.
Submit the FP92A Form to the NHS Business Services Authority (Prescription Exemption Applications, Bridge House, 152 Pilgrim Street, Newcastle upon Tyne NE1 6SN). Generally, applicants wait up to ten working days to get the certificate in the mail. After the certificate is issued, you are responsible for making sure it remains valid - the validity period of the document is five years, or it expires on your 60th birthday if this date comes first. In case you need to replace the certificate because you lost it or its expiration date is coming soon, contact the NHS to get a new document. Additionally, you need to inform the NHS about any changes - they will update their records if you move to another location or change your legal name.
