Claim Adjustment Form (Dental 283)
Guidance - when to use form and how to complete form |
Download form |
Non Payment Form (Dental 286)
Guidance - when to use form and how to complete form |
Download form |
Non Payment - Electronic Data Interchange (EDI)
Guidance - more information on EDI |
No form |
Patient Detail Amendment Form (Dental 287)
Guidance - when to use form and how to complete form |
Download form |
Schedule Query Form (Dental 289)
Guidance - when to use form and how to complete form |
Download form |
Submit by email - complete online and submit electronically via NHSmail.
All forms must be sent from a dentist's personal NHSmail account, ie joebloggs@nhs.net
Forms 283, 286, 287 and 289 should be sent to nss.psd-customer-admin@nhs.net
State your list number and form type in the subject field of your email. If forms are submitted from any other email accounts, they will not be processed and you will be notified by email.
For assistant and trainee dentists, your employing dentist must submit all forms via their own personal NHSmail account.
If you do not have an NHSmail account, contact you local IT Facilitator.
If you have multiple forms to return, ie Dental 283 and 287, please attach these to separate emails.
Submit by post - complete the forms online, print off and return to us by post. Multiple pages should be stapled together.
Note: To enable these forms to work correctly, the minimum requirement is Adobe Reader, version 7.
Download the latest version of Adobe Reader free.
If you're looking for information about dentists and the NHS services they provide, visit the Public section of this web site.