Get Pats Form

Filling out the Pats Form online can streamline the process of securing assistance for travel related to medical appointments. This guide provides clear, step-by-step instructions to help users complete each section of the form efficiently.

Follow the steps to successfully complete the Pats Form online.

1. Press the ‘Get Form’ button to download the Pats Form and open it in your preferred editor.
2. Begin with Section A, where the medical practitioner completes the referral details. Input patient details such as title, surname, given names, and date of birth. Indicate the patient's gender and move on to the referral details, specifying the location of the specialist.
3. Indicate whether the patient needs to be seen urgently and if the referral is for cancer treatment or renal dialysis. Proceed to the air travel recommendation section, marking yes or no, based on the patient's clinical condition.
4. Evaluate if the patient requires an escort. If yes, select the reason from options like medical condition, under 18, disability, or frailty.
5. Complete the clinical details that support the referral and the escort recommendation provided by the medical practitioner.
6. Fill in the referring medical practitioner's name, address, telephone, and signature, ensuring the date and provider number are also included.
7. Move to Section B, where the patient fills out personal details including title, surname, first name, addresses, and preferred contact method.
8. Specify any relevant cards held by the patient and note if the travel relates to treatment covered by workers' compensation or other insurance.
9. Provide details about the appointment, including the specialist's name, phone number, and appointment date, time, and location.
10. In the relevant travel notes section, make any necessary notes pertinent to your circumstance that should be known to the PATS office.
11. Read and accept the conditions of travel, then sign and date the declaration section, confirming the information provided is correct.
12. Finally, submit the completed form to your local PATS office through fax, mail, email, or in person, ensuring this is done prior to travel.

Begin filling out your Pats Form online today!