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NHSiS Manual of Guidance: Overseas Visitors
 
Appendix E: Questionnaire for Stage 1 Officers to determine eligibility status of Overseas Visitors
Questionnaire for use by Stage 1 officers when conducting initial interview to determine eligibility, or otherwise, to exemption from NHS charges for treatment for Overseas Visitors. This Appendix should be read and completed in conjunction with Chapter 8 (NHSiS: Overseas Visitors, Notes for Stage 1 officers) of this Manual.
Section 1
• Patient name ....................................
• Stage 1 Officer - name ................................... Date of interview ....................
Question 1:

Have you has your husband/wife

has your mother (for children see Chapter 2 para 6)

has your father

been permanently resident in the UK for 1 year (absences of up to 3 months’ duration should be disregarded)?

If the answer is yes to any of the above questions tick the "not liable" box at Section 2i (below). No further action is required.
If the answer is no or the answer is at all unclear, or reasonable doubt exists, proceed to Question 2.
Question 2:

On what date did you your husband/wife

your mother (for children see Chapter 2 para 6)

your father

arrive in the UK?1

1 Enter earliest date provided in response to this question in the box at Section 2ii. If the earliest date provided is less than 1 year from the date of interview or/and the answer provided indicates that there is an outstanding immigration or limited stay application, refer the overseas visitor for Stage 2 interview by ticking the box at Section 2iii.
Section 2

i. "not liable"

ii. "Date of patient’s/spouse’s arrival

or if child, mother/father’s arrival

iii. "for Stage 2 interview"

Section 3

Stage 1 officer - signature ..............................................................

Date:................................................................................................

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