A withdrawal is where a patient is to be removed from a registered list. This occurs when there is a request, usually made by the dentist and approved by the NHS Board.

What to do

Request a GP200 form from your local NHS Board and submit, stating the reasons for the request. Once the NHS Board approves the request, it will be sent to us, to withdraw the patient.

Practitioner Services withdrawals

We have put a process in place to identify and report registration changes withdrawing them on a monthly basis. Withdrawn patients will be reported in the monthly payment schedule. If it’s believed we’ve withdrawn a patient incorrectly, submit a Dental 289 form available below.

Download the dental patient details withdrawl 289 form (PDF 490KB)