Claim form for a refund of travel costs to receive NHS treatment - HC5(T)

Series : Help with health costs

Published : April 2012
Page Length : 4
Format : Form A4
Supplier : N/A
Publisher : Department of Health

You can claim help with the cost of travel if you are on a low income and have made an additional journey to receive NHS care following a referral by a doctor (GP or hospital doctor) or dentist.

Maximum Order: 100