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  1. The HC5 (W) form cannot be ordered online. You must call 0300 330 1343 and we'll post the form to you. To claim a prescription refund, ask your pharmacist for a FP57 refund receipt when you pay. You cannot get one later. The FP57 form tells you how to claim your refund.

  2. You also qualify for a refund if you met the qualifying criteria during the Universal Credit assessment period during which the travel charge was incurred. Send this form to your local Jobcentre Plus office.

    • If You Live in England
    • If You Live in Scotland
    • If You Live in Wales

    Download and print the HC5(T) form. The form tells you what to do. HC5(T) travel refund form (97.2KB) You can also order a form onlineand we'll post it to you.

    Download and print the Scottish HC5 form. The form tells you what to do. HC5 – Scotland travel refund form (80.5KB) You can also get an HC5 from your GP practice or pharmacy.

    Call 0345 603 1108 (select the option for health publications) and ask for an HC5 form to be sent to you. You might be able to get an HC5 from your Jobcentre, NHS hospital, GP practice, dentist or optician.

  3. In this case, you can complete an HC5(T) travel refund form and post it to the address stated on the form. You can make a postal claim up to 3 months after your appointment took place. Download an HC5(T) form to claim necessary costs of travel for NHS treatment from NHSBSA website.

  4. To claim a refund of optical charges paid online, print and send the payment invoice with your HC5 and optical prescription. If you cannot print this form, contact Practitioner Services, 0131 275 6386.

  5. you can get a refund. Send a note with this form to tell us how the loss or damage happened. • travel to receive NHShospital treatment: if you need help with travel costs and you are:

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  7. If you are referred to hospital or other NHS premises for specialist NHS treatment or diagnostic tests by a doctor, dentist or another primary care health professional, you may be able to claim a refund of reasonable travel costs under the Healthcare Travel Costs Scheme (HTCS). • How to claim hospital travel costs under this scheme.

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