FP17s
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 2016 onwards
Completion of form guidance FP17O - England - 1 April 2016 onwards
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 - wef 1 April 2016
FP17O - England - wef 1 April 2016
PR - England - wef 1 April 2016 (large print version)
PR - England - high resolution version
Wales
FP17W -Wales - wef 1 April 2016 (Welsh language version)
FP17W -Wales - wef 1 April 2016 (English language version)
FP17OW - Wales - wef 2016 (Welsh language version)
FP17OW - Wales - wef 2016 (English language version)
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