Gp69 Form Fixed Jun 2026

| State | Trigger | Next State | |-------|---------|-------------| | Draft | Form created, incomplete | Draft | | Completed | All required fields filled | Ready for review | | Under review | Consultant selects “Review” | Under review | | Signed | Digital signature applied | Certified | | Sent to GP | Click “Send to GP” | Sent | | Received by GP | GP acknowledges | Acknowledged | | Archived | 12 months after certification | Archived |

+--------------------------------------------------+ | GP69 – Certificate of Vision Impairment | | Patient: Jane Doe (DOB: 12/03/1965, ID: 887231) | +--------------------------------------------------+ | Certification Type: (•) Sight Impaired | | ( ) Severely Sight Impaired| | | | Visual Acuity: Right: [6/36] Left: [6/60] | | With correction? [Yes] No | | | | Visual Fields: [Homonymous hemianopia] | | | | Main Cause: [Macular degeneration - ICD11: 9B70]| | | | Prognosis: (•) Static ( ) Deteriorating ( ) Var | | | | Recommendations: | | [X] Register with social services | | [ ] Low vision aids referral | | [X] Mobility training | | | | [Save Draft] [Validate] [Sign & Send to GP] | +--------------------------------------------------+ gp69 form

: Used by organizations to assess capacity for work regarding disability-related benefits or insurance claims. 🏥 How to Get and Complete the GP69 Form | State | Trigger | Next State |

: New teachers must provide a completed GP69 form to receive their TSC number. Unfit for employment

: Evaluation of respiratory, cardiovascular, and nervous systems.

The final section must be completed by the . They will indicate if you are: Fit for employment. Unfit for employment. Deferred pending further treatment. Required Documents for Submission