Claim for help with health costs - HC1

Series : Help with health costs

Published : April 2015
Page Length : 18
Format : Form A4
Supplier : N/A
Publisher : Department of Health

This claim form can be used to apply for help with paying for NHS prescriptions, NHS dental treatment, NHS wigs and fabric supports, sight tests, glasses and contact lenses, or travel to receive NHS treatment if referred by a doctor or dentist.

Maximum Order: 20

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