The WP34C has 3 separate sections. These are –
1. The number of forms/items within each group as described below.
Note: Please insert total figures for all prescriptions submitted, including resubmitted forms.
(Any unused boxes in the above section only should be left blank i.e. they should not be crossed through in any way)
2. The number of forms/items for Private Controlled Drug prescriptions is NOT applicable to appliance contractors
3. The number of CD Requisition Forms is NOT applicable to appliance contractors
4. Repeat Authorising forms submitted. (Please indicate by ticking the box – there is no requirement to indicate the number of forms submitted)
Areas to complete here include: -
Once completed, please fold the WP34C into quarters along the fold lines marked on the document itself, so that the prescriber name/address are visible at the top. This should then be placed at the top of the forms being submitted to Prescribing Services.
Please note that we no longer send out copies of the WP34C each month but you can download one from this site. If you have any issues downloading the WP34C please contact the Helpdesk on 02920 904030 or email email@example.com.