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Exceptional Clinical Circumstances Application Form Guidance Notes: If you are seeking funding for a treatment which is covered by the current Value Based Commissioning Policy, but the patient does

How to fill out exceptional clinical circumstances application

How to fill out exceptional clinical circumstances application

1. Download the exceptional clinical circumstances application form from the official website.
2. Read the instructions carefully to understand the eligibility criteria and required documentation.
3. Fill out the personal details section of the application form, including your name, contact information, and identification number.
4. Provide a detailed explanation of your exceptional clinical circumstances, including the medical condition, treatment received, and any relevant medical reports or certificates.
5. Attach all supporting documents, such as medical records, prescriptions, or referral letters from healthcare professionals.
6. If applicable, include any additional information or statements from physicians or specialists supporting your exceptional clinical circumstances.
7. Double-check the completed application form for accuracy and completeness.
8. Submit the application form along with all necessary supporting documents to the designated authority or department mentioned in the instructions.
9. Await a response from the authority or department regarding the status of your exceptional clinical circumstances application.
10. Follow up with any additional information or inquiries requested by the authority or department to ensure prompt processing of your application.

Who needs exceptional clinical circumstances application?

1. Individuals who are facing exceptional clinical circumstances and require specific assistance or accommodations.
2. Patients with severe medical conditions, chronic illnesses, disabilities, or rare diseases who need support tailored to their unique circumstances.
3. Healthcare professionals or authorized representatives advocating on behalf of patients who meet the criteria for exceptional clinical circumstances.
4. Those who have been advised by healthcare professionals to apply for exceptional clinical circumstances due to the severity or complexity of their medical condition.

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What is exceptional clinical circumstances application?

Exceptional clinical circumstances application is a request made in situations where a patient's medical needs require special consideration beyond the usual standard of care.

Who is required to file exceptional clinical circumstances application?

Healthcare providers or facilities are required to file exceptional clinical circumstances application on behalf of the patient.

How to fill out exceptional clinical circumstances application?

Exceptional clinical circumstances application should be filled out with detailed information about the patient's medical condition, the treatment plan, and reasons why standard care may not be sufficient.

What is the purpose of exceptional clinical circumstances application?

The purpose of exceptional clinical circumstances application is to ensure that patients with unique medical needs receive the appropriate level of care and treatment.

What information must be reported on exceptional clinical circumstances application?

Information such as the patient's medical history, current condition, treatment plan, and reasons for requesting special consideration must be reported on exceptional clinical circumstances application.