Help with NHS charges and the cost of travel to hospital for NHS treatment / Benefits Agency.

  • Great Britain. Benefits Agency
Date:
1992
Catalogue details

Licence: Open Government Licence

Credit: Help with NHS charges and the cost of travel to hospital for NHS treatment / Benefits Agency. Source: Wellcome Collection.

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    _ Please read these notes ee betgnly. before filling in the form pares 4 oo a | Women over 60 and men over 65 can get free prescriptions anyway. You can fill in this form at any time. You do not have to wait until you know that you Please fill in this form to claim help with will need help with NHS charges. the other things. CLAIMING MONEY BACK THAT YOU HAVE ALREADY PAID Pregnant women and women who can get these things anyway You can normally claim money back if you have already paid for something. But you have had a baby in the last 12 — free prescriptions can only claim money back for glasses if they were prescribed by a hospital. months — free NHS dental treatment, but pregnant er, | women can only get this if they were For a prescription pregnant when the treatment started. Please get an NHS receipt from the chemist. The receipt tells you what to do to claim money back for a prescription. Send it to us with this claim form. Please fill in this form to claim help with Remember we must get your claim within one month of when you paid. the other things. oe ERE Dene ne acd STennese Children under 16 can get these things anyway If you can get help we will send you a certificate and this will tell you what to do to and young people under 19 — free prescriptions claim money back. The certificate will start from the day we get this claim form. So studying full-time baa NiSidentakirestment send this claim form to us straight away — you can only get money back if your ] — free NHS wigs and fabric supports certificate starts within 14 days of the sight test. — free sight test For something else — help with glasses or contact lenses. Get form AG5 Claiming money back from any Benefits Agency office or hospital. Please fill in this form for help with the cost Fill it in and send it to us with this claim form. And send any receipts that you have. of travel to hospital for NHS treatment. But if you cannot get form AG5 do not worry. Just send any receipts with this form. For children under 16 a parent or the person We will normally send you a form AGS to fill in. looking after the child should fillinthe form. If you are claiming money back for glasses prescribed by a hospital please send the —— Se PMOnaswe asincleceiom Young people who are 16 or 17 can get free NHS dental treatment anyway. Remember we must get your claim within three months of when you paid. | ( Please fill in this form to claim help with HELP AND ADVICE oa the other things. ' , . SSS OLUWANUMOLCHNTOnmMadl OnavoUnhe DWNT orenanees ‘3 People who get a War Pension can get these things for their accepted e get leaflet AB11 Help with NHS costs. You can get this leaflet from any disability anyway Benefits Agency office, post office or doctor's surgery. — free prescriptions @ ring Freeline Social Security — this phone call is free. — free NHS wigs and fabric supports. The number is O800 666 555. Please fill in this form to claim help withthe —@ talk to someone at an advice centre like a Citizens Advice Bureau. other things. If you have difficulty filling in the form someone else can do it for you. Youcanask =) ar | ay) ll jill ili lille ) i [iit ' (it —_titts:: aniend ordnadvice centrexOryoucaniaskiauvourml ocallseneitsAgecnevomicer if Everybody else Please fill in this form to claim help with all But still sign the form yourself. $ the things listed on the front of this form. . a Please tear off this page and keep it for your information > | ] | | TA Ze5 is m Remember if you have a partner you or your partner can fill in this | il form.