Exemption Status

THE PATIENT PAYS FOR THEIR PRESCRIPTIONS

60 years old or over

Under 16 years old

Aged 16 to 18 and in full-time education

Prescription Prepayment Card (PPC)

Have a valid Maternity Exemption Certificate

Have a valid Medical Exemption Certificate

Are named on a valid war pension exemption certificate

Get Income Support

Get Income-based Jobseeker Allowance

Get Income-related Employment and Support Allowance

Get Pension Credit Guarantee Credit

Receive Universal Credit and meet the criteria

Are named on a valid NHS tax credit exemption certificate

Are named on a valid NHS HC2 Certificate

Agreement

I am the patient named above/carer of the patient named above
I understand that I am nominating Chesterfield Delivery Pharmacy to receive my NHS prescriptions via the Electronic Prescriptions Service for dispensing.
I understand the meaning of nomination and how it works.