PPS Pregnancy-Related Sickness Benefit Declaration

PPS Pregnancy-Related Sickness Benefit Declaration **Patient Details:** Patient Name: Sarah Jenkins Date of Birth: 15/03/1992 Unique Health Identifier: SJ920315A **Declaration by Obstetrician & Gynaecologist:** I, Dr. Eleanor Vance, an Obstetrician & Gynaecologist registered with the General Medical Council (GMC: 1234567), confirm that I am providing care for the above-named patient. Based on my medical assessment, the patient is currently experiencing pregnancy-related sickness that renders her unfit for work. The nature of the pregnancy-related sickness is Hyperemesis Gravidarum, characterised by severe nausea and persistent vomiting. Her estimated date of delivery (EDD) is 01/05/2025. This condition is expected to significantly impact her ability to perform her usual work duties as a marketing executive, which involve frequent travel and client meetings. The patient requires continuous medical management, including antiemetics and intravenous fluids, and is advised to reduce her work commitments to aid recovery and prevent complications. Date of declaration: 01 November 2024 Signature of Obstetrician & Gynaecologist: [Electronically Signed] Dr. Eleanor Vance