Set up a Mandate

The work of the LDC is funded purely by voluntary mandates from GDPs in the area. If you have not already set up a mandate, please either print one off by clicking on the link below or fill out the form below.

Remember, mandate holders are entitled to a substantial reduction in booking fees for the regular CPD courses organised by Lanarkshire LDC.

To complete an online mandate please fill in the below form

"*" indicates required fields

To: Practitioner Services – Dental
NHS National Services Scotland
Gyle Square
1 South Gyle Crescent
Edinburgh
EH12 9EB

I the undersigned hereby authorise Practitioner Services – Dental (PSD) to deduct each month such a sum as shall from time to time be decided by Lanarkshire Local Dental Committee (LLDC) but not exceeding maximum £2 per thousand of my gross monthly earnings from dental treatment provided under the National Health Service (Scotland) Act 1948 and subsequent amending and superseding legislation; and I request that the sum so deducted be remitted to the Clerk of the LLDC and that her receipt be accepted by PSD.

I declare that this mandate which replaces any previous mandate given by me for deduction of Voluntary Levy shall take effect immediately and shall be effective until cancelled by me in writing.

Full name (As appears on GDC register)*
This field is hidden when viewing the form
Address*
I confirm that I am authorising you to instruct PSD to take a levy from my NHS Schedule each month.*
Clear Signature

If you prefer to print off a paper copy

Download the LDC mandate to print off and send

Completed mandates can be submitted by email to nss.psd-dental-payments@nhs.scot or be posted to the General Secretary.

D&O Payment Department
Practitioner Services
Gyle Square
1 South Gyle Crescent
Edinburgh
EH12 9EB