FP17 forms
Providers submit forms (FP17) to us detailing dental activity data. The data recorded on the FP17 shows the patient charge collected, the number of units of activity performed and treatment banding information.
FP17 common errors and how to correct them
Important changes to the FP17 form from 1 April 2016 (England)
Urgent courses of treatment within two months
Referrals for advanced mandatory services
Guidance for completion of forms
England
Completion of form guidance FP17 - England - 1 April 2018
Completion of form guidance FP17O - England - 1 April 2018
Wales
Completion of form guidance FP17W - Wales - 1 April 2016 onwards
Completion of form guidance FP17OW - Wales - 1 April 2016 onwards
Sample forms - England
FP17 England April 2018FP17O England April 2018
Sample forms - Wales
PRW form large print - English
Pay statements and schedules
Every month we send each provider a pay statement and to each performer a copy of their monthly superannuation allocation and a summary of forms processed.
Guide to monthly provider pay statements