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What is the HC5 form?
Can I order HC5 (W) online?
How do I claim HC5 (t) travel for NHS treatment?
Where can I find HC5 forms?
How do I claim a HC5 – Scotland refund?
How do I claim my HC5 refund?
HC5(T) Refund claim form: travel costs to receive NHS treatment. Please read this page before filling in this form - it will help you make this claim correctly. Use a separate form for each person who has paid travel costs or has had travel costs paid for them. Part 4 tells you where to send the completed form.
To apply, download, print and return an HC5 refund form with your original receipt. The HC5 form tells you where to send it. We cannot accept proof of payment from: credit card receipts; bank statements; treatment plans; It takes up to 8 weeks from the date your application is received for your refund to be paid.
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.
Download an HC5(T) form to claim necessary costs of travel for NHS treatment from NHSBSA website. Can I claim travel expenses for treatment abroad? If you're travelling abroad for treatment on the NHS, you may be able to claim for travel costs incurred travelling from your home to the international railway station, port or airport where you ...
Use this form to claim back the cost of NHS Dental Treatment. This form should only be used if the dental practice was in England. You may also have to fill in an HC1 claim form for the NHS Low Income Scheme (see part 4). If you have paid an NHS dental charge you must receive a receipt, either an NHS receipt form
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If you’re unable to claim a refund at the time of treatment, complete a HC5 (T) and return this with the original travel receipts. The HC5 form tells you where to send it. You can include multiple trips on one HC5 (T) but must complete a new form for each place you have travelled.
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. Includes current charges and what they cover, who’s entitled to free treatment and how to claim refunds.