Get Helfo

Filling out the Helfo form is essential for individuals seeking reimbursement for specialist healthcare services received in another EEA country. This guide provides step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the Helfo form correctly.

1. Press the ‘Get Form’ button to access the Helfo form. This will allow you to open the document and begin filling it out.
2. In section 1A, provide information about yourself. Fill in your birth number (11 digits), first name, last name, phone number, postal address, postal code, city and country, municipality of residence at the time of treatment, citizenship, and account number.
3. If applicable, complete section 1B regarding any employment, benefits, or residency connections to another EEA country. Indicate if you possess forms E106, E109, or E121, and specify the countries that issued and registered these forms.
4. In section 2, indicate whether you have received prior approval for treatment. Answer 'yes' or 'no.' If you answered 'yes,' indicate whether you received treatment not covered by this approval.
5. Complete section 3 only if you answered 'no' in section 2A or 'yes' in section 2B. Here, describe how your need for treatment arose, whether you were referred to a specialist, and if the need arose before traveling from Norway.
6. In section 4, provide details of the healthcare provider in the EEA country where you received treatment. This includes the name of the healthcare institution or specialist, their address, and the country.
7. Section 5 requires information about your illness, diagnosis, and treatment. Describe the illness you had and the treatment received. Ensure to attach relevant documentation as instructed in section 8.
8. In section 6, specify the costs associated with the treatment, medications, or other healthcare expenses incurred. Remember to attach receipts and reference them accordingly.
9. Section 7 allows you to provide any additional information that may be pertinent to your healthcare received.
10. In section 8, check the relevant documentation you are attaching to your application such as receipts, specialist information, and any other necessary records.
11. Finally, complete section 9 with your consent and signature. Acknowledge your approval for information sharing with Helfo and confirm that all information provided is accurate and complete. Include the date and location required.
12. After finishing, save your changes, download, print, or share the completed form as needed.

Take the next step and complete your Helfo application online today.