| Appendix C: Request for confirmation of Nationality Status |
|
| Request for confirmation by Doctor/Dentist
of Overseas Visitors nationality status to determine eligibility, or otherwise, to
exemption from NHS charges for treatment. This Appendix should be read and completed in
conjunction with Chapter 6 (NHSiS: Overseas Visitors, Management and Clinical
Responsibilities) of this Manual. |
|
| 1. Section 1: To be completed
by Doctor/Dentist |
|
Patient’s
Name:..........................................................................................................
|
|
Patient’s Date of Birth &/or hospital
number:...........................................................
|
| Note: This patient is an
overseas visitor as defined in the National Health Service (Charges to Overseas Visitors)
(Scotland) Regulations 1989 1. Delete one of the statements at
Section 2 below, to indicate whether in your opinion the diagnosis and any other
treatment required by the patient is "treatment the need for which arose during the
visit"2 as defined in the 1989 Regulations. |
|
| 2. Section 2: To be completed
by Doctor/Dentist (delete the inappropriate statement). |
|
2.1. I am satisfied that the need for treatment arose
during this patients visit to the UK, or
2.2. I am satisfied that the need for treatment did not arise during the
patients visit to the UK.
|
|
|
| 3.
Signed:......................................(Doctor/Dentist)
Date:............................. Print Name:................................and
surgery/hospital department................................... |
|
|
| 1 Regulation 1(2) of the NHS
(Charges to Overseas Visitors) (Scotland) 1989 (SI 1989 No 364), was amended by the NHS
(Charges to Overseas Visitors) (Scotland) Amendment Regulations 1992 (SI 1992 No 411), the
NHS (Charges to Overseas Visitors) (Scotland) Amendment Regulations 1994 (SI 1994 No 1770)
and the NHS (Charges to Overseas Visitors) Amendment Regulations 1998 (SI 1998 No 251). |
| 2 "Treatment the need for
which arose during the visit" means diagnosis of symptoms or signs occurring for the
first time after the visitor’s arrival in the UK, and any of the treatment which, in
the opinion of a medical or dental practitioner employed by, or under contract with, a
Health Board or as the case may be, NHS Trust, is required promptly for a condition which
arose after the visitor’s arrival or became acutely exacerbated after arrival; or
would be likely to become, acutely exacerbated without treatment. |
