Get Pats Application Claim Form

Filling out the Pats Application Claim Form online is a straightforward process designed to assist users in applying for travel subsidy and health services. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Pats Application Claim Form online

1. Click 'Get Form' button to access the Pats Application Claim Form. This will enable you to open the document in an online format for easier completion.
2. Begin with Section A, which requires personal details. Fill out your title, surname, given names, preferred name, and date of birth. Additionally, indicate your gender and whether you identify as Aboriginal or Torres Strait Islander.
3. Provide your residential address, home phone number, mobile phone number, and email address. Ensure to include any concession details, such as Medicare or pensioner information, as applicable.
4. In this section, you will also need to indicate if your travel is related to motor vehicle insurance or workers compensation, and provide necessary details if applicable. If eligible, add the name of your escort or guardian.
5. Select your preferred payment method and provide the relevant banking details, ensuring accuracy to avoid potential losses. This includes entering your 6-digit BSB number and account number.
6. Move to Section B for the referring practitioner recommendation. This section must be filled out by the referring clinician. They will confirm the need for urgent attention, telehealth services, or any specific conditions related to your treatment.
7. In Section C, provide details about your visit, including the treatment dates and whether accommodation was required. Remember to attach a receipt for any commercial accommodation claimed.
8. Lastly, ensure the patient or guardian declaration is signed and dated to confirm that all provided information is true and correct. This is essential as it authorizes the sharing of necessary information with relevant health service personnel.
9. After completing all sections, you can save the changes to your form. Options will be available for downloading, printing, or sharing the final document.

Complete your Pats Application Claim Form online today to ensure prompt processing of your application.