The FP92A is the application form to apply for a Medical Exemption certificate (MEDEX).

This form can only be completed by a GP or medical representative who has access to your medical records.

When sending the FP92A, this must be an original document and not a photocopy, email attachment or downloaded and printed copy.

Practitioners can order FP92A application forms and return envelopes from the Primary Care Support England portal.

Integrated Care Board (ICB) and Sub ICB Location (SICBL) can order FP92A and return envelopes from Cerox UK limited.

Check what help you could get to pay for NHS costs and apply online.

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