Language / English
Appeal to the First-tier Tribunal (Primary Health Lists): Form T170
What is this form for?
Use this form to appeal a medical, dental, pharmacy or optical performers list decision, or an application to the NHS commissioning board for national disqualification or to extend a suspension.
You can preview the official document here. We have not yet added simple text entry, browser saving or account saving for this form.
Official form and guidance ↗
Official documents
First page of the official PDF (6 pages in total). Use the official document links to view every page.
Request conversion of T170
Tell us you need this form in an easy digital format. We will receive your request and can contact you about it.
Requesting a form does not mean conversion has started or that it will be ready by a particular date.
Official publication updated 2018-07-10. Catalogue checked 9 November 2026. Follow the official guidance for the form's scope, required documents and filing route. Source: HMCTS. Crown copyright, Open Government Licence v3.0.