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WP34P Guidance

Filling Out Form

The WP34P form is for Prescribing Doctors (Personal Administration accounts) ONLY to complete.

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WP34P Form (doc,440kb)

 

Declaration Form

Please complete one declaration form only in accordance with paragraph 17 of the Statement of Financial Entitlement.

The names of all doctors should be entered whether or not doctors in partnership sub-divide batches into bundles relating to individual doctors.

The Index Number required is that which is printed on the prescription form.

Where a partnership batch is sub-divided into bundles relating to individual doctors, as in paragraph 17 of the Statement of Financial Entitlement (Annex G), these columns should be completed for each doctor, otherwise partnership totals will be sufficient.

NOTE: Vaccine claims must be completed online. Please see Electronic Multivaccine Claims (EMVC)