Prescription Sign Up Form

A – Under 16

B – 16–18 and in full-time education

C – 60 or over

D – Medical exemption certificate

E – Maternity exemption certificate

F – Prescription prepayment certificate (PPC)

G – War pension exemption certificate

H – Income Support

J – Income-based Jobseeker’s Allowance

K – Income-related Employment and Support Allowance

L – Pension Credit Guarantee Credit

M – NHS Tax Credit exemption certificate

N – HC2 certificate (full help with health costs)

S - Pension Credit Guarantee Credit

U - Universal Credit and meets criteria