FP17 processing and payments

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

DMF guidance

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 2018​​​​​FP17O England April 2018

PR form England April 2018

FP17DC - England

FP17DCO - England

FP17RN - England

Orthodontic referral form

Sample forms - Wales

FP17W Wales April 2018

FP17OW Wales April 2018

PRW form large print - Welsh

PRW form large print - English

CSS8A form

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.

Schedule programme 2018

Guide to monthly provider pay statements