Get Hc5(t) Claim Form For A Refund Of Travel Costs To Receive Nhs Treatment Please Read This Page

Filling out the HC5(T) claim form for a refund of travel costs to receive NHS treatment can seem daunting. However, this guide will lead you through each section of the form, ensuring that you provide the necessary information to successfully complete your claim.

Follow the steps to fill out the HC5(T) form accurately.

1. Click the ‘Get Form’ button to obtain the HC5(T) claim form and open it for editing.
2. In Part 1, provide the patient’s details. This includes the surname, other names, title, date of birth, National Insurance number, address, postcode, daytime contact telephone number, and the name of the local Primary Care Trust.
3. In Part 2, indicate the details of the travel costs you paid. Enter the amount you are claiming for each visit to receive NHS treatment, including the date of each visit and any amounts paid for an escort if applicable.
4. In Part 3, include the name of the doctor, dentist, or consultant who referred you, along with the complete address and telephone number of the hospital or place where treatment was provided.
5. In Part 4, select the appropriate group that applied when the travel costs were paid. Provide requested information to verify your entitlement, and follow the instructions for where to send the form based on your responses.
6. In Part 4A or 4B, sign and date the declaration. Ensure that you confirm the accuracy of the information provided.
7. Lastly, review your completed form. Save any changes, download, print, or share the form as necessary, and ensure that you submit it within the allowed time frame.

Complete your HC5(T) claim form online today to ensure you receive the refund for your travel costs.