Application for prescription charge exemption (MEDICAL)

Patients who have certain medical conditions are exempt from paying prescription charges if they qualify and have a valid medical exemption form which is also known as a (FP92A)

You can qualify for a medical exemption form if you have the following:

• - A permanent fistula (for example, caecostomy, colostomy, laryngos-tomy or ileostomy) which needs continuous surgical dressing or an appliance
• - epilepsy which needs continuous anticonvulsive therapy
• - diabetes mellitus, except where treatment is not just by diet alone
• - myxoedema (that is, hypothyroidism which needs thyroid hormone replacement)
• - hypoparathyroidism
• - diabetes insipidus and other forms of hypopituitarism
• - Forms of hypoadrenalism (for example, Addison’s Disease) for which specific substitution therapy is essential
• - myasthenia gravis
• - diabetes insipidus and other forms of hypopituitarism

a continuing physical disability which means you cannot go out without the help of another person; or cancer and are undergoing treatment for

• - cancer
• - the effects of cancer
• - the effects of cancer treatment

ATTENTION: Patient's are only entitled to an exemption form with only the medical conditions listed above

To apply for a medical exemption you can ask your local GP for a medical exemption form and they can sign it