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Hc5 claim form

HC5(T) Refund claim form: travel costs to receive NHS treatment. Please read this page before filling in this form - it will help you make this claim correctly. 19 May New forms have been created for patients to use to claim refunds of NHS wigs The forms are replacing the combined HC5 Refund claim form. HC5 D Claim Form For a Refund of NHS Dental Charges HC5 T NHS Please read this page before filling in this form - it will help you make this claim correctly.

HC5(T). Claim form for a refund of travel costs to receive NHS treatment Please read this page before filling in this form - it will help you make this claim correctly. Claim form for a refund of NHS dental charges - HC5(D). Summary: This form can be used to claim back the cost of NHS dental treatment. If you are on a low. Claim form for a refund of optical charges - HC5(O). Summary: This form can be used to claim back the cost of a sight test, glasses or contact lenses on low.

15 Feb Ask your dentist for a NHS recipt form FP64 or WP64 (Wales) or a receipt Complete an HC5W(O) refund claim form, making sure you put the. 4 days ago You will need to keep your receipt and you will need to claim using an HC5 form. Claims must be received within three months of your paying. 28 Aug The following forms and guidance should be used in the claims Guidance to help the defendant in replying to the claim form HC5, n/a, PDF.

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