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  • Hc5t Form

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HC5(T) Claim form for a refund of travel costs to receive NHS treatment NHS Please read this page before filling in this form - it will help you make this claim correctly. Use a separate form for.

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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.

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.

Ask your dentist for the NHS receipt form FP64, or a receipt that shows the total NHS charge and the date you paid. You'll also need the HC5 (D) refund claim form for dental charges (PDF, 59kb), on which you'll need to explain why you're claiming a refund.

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), optician or dentist.

To apply for a refund of the contribution, you will need to contact the Department for Work and Pensions Overseas Healthcare Team on 0191 218 1999 or overseas.healthcare@dwp.gsi.gov.uk. You will normally have to pay treatment costs upfront and get reimbursement of eligible costs from NHS England.

If you're 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).

We can pay 45p per mile.

You get free dental treatment in Northern Ireland if you are: aged under 18. aged 18 and in full-time education. pregnant, or have had a child, within the 12 months before treatment starts.

If you have paid an NHS dental charge you must receive a receipt, either an NHS receipt form FP64 or another receipt which shows the amount of the NHS charge and the date you paid it. To claim a refund you must complete this form and include all original receipts.

If you're 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).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232