# The National Health Service (General Medical Services) Regulations 1992, Paragraph 24


If applicant is not in the FHSA’s medical list—
(1) name of any other FHSA in whose list he is included;
(2) particulars of any outstanding application for inclusion on the medical list of any FHSA;
(3) information about general medical services to be provided and, in particular, whether—
(a) including
excluding
maternity medical services limited to
(b) including
excluding
limited to
contraceptive services
(i) excluding
including
fitting of intra-uterine including devices
(ii) restricted
not restricted
to patients to whom the doctor or partner provides other personal medical services
(c) including
excluding
limited to
child health surveillance services
(d) including
excluding
limited to
minor surgery services
(4) whether or not applied/intending to apply for—
(a) inclusion in minor surgery list,
(b) inclusion in child health surveillance list,
(c) inclusion in obstetric list; and
(5) undertaking to be bound by terms of service.

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Source: https://www.legislation.gov.uk/uksi/1992/635/schedule/3/paragraph/24 (the official version)
Page: https://openlegislation.uk/national-health-service-general-medical-services-regulations-1992/schedule-3/paragraph-24
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.