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  • Hc5 Refund Claim Form - Scottish Government

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HC5 Refund claim form Please read this page before filling in this form it will help you make this claim correctly. Use a separate form for each type of charge you have paid (for example one for dental.

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NHS dental charges. 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 NHS dental charges or has had NHS dental charges paid for them. Part 4 tells you where to send the completed form.

Use this form if you need help with paying for: NHS dental treatment; • glasses and contact lenses; or • travel to receive NHS treatment if referred by a doctor (GP or hospital doctor) or dentist. You might not have to pay or you could be entitled to some help towards the cost.

You can also order a form online and we'll post it to you. The HC5(W) form cannot be ordered online - 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.

You can get a form by calling 0300 123 0849 or visiting .nhsbsa.nhs.uk/healthcosts. Send this form with the HC1 form to NHS Business Services Authority, Bridge House, 152 Pilgrim Street, Newcastle upon Tyne NE1 6SN. Warning: False information may lead to civil or criminal action.

If your place of treatment issues payments, you will be able to claim your money back during your visit. They will ask you to show proof of your entitlement, such as your award notice or your NHS tax credit exemption certificate. You will need to keep any tickets or receipts you have as proof of the cost.

If your place of treatment issues payments, you will be able to claim your money back during your visit. They will ask you to show proof of your entitlement, such as your award notice or your NHS tax credit exemption certificate. You will need to keep any tickets or receipts you have as proof of the cost.

If you wish to claim a refund of NHS dental charges for a reason other than because you have a low income, please send your receipts and proof of your exemption with a covering letter to Practitioner Services, NHS National Services Scotland, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB.

please send your receipts and proof of your exemption with a covering letter to Practitioner Services, NHS National Services Scotland, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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