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nhs. uk TO Payment of made to patient named in Part 1 of this form on Crown Copyright 2014 Produced on behalf of the Department of Health HC5 O April 2014. HC5 O Part 1 PATIENT S DETAILS Please use this part of the form to tell us about the patient this may be you or the person on whose behalf you are making the claim. Surname Other names Title Mr/Mrs/Miss/Ms/Other Date of birth / National Insurance No Address Postcode Telephone number including dialling code This must be the number of the pers ...

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What is a HC5 form?

travel costs to receive NHS treatment. Please read this page before filling in this form - it will help you make this claim correctly. Use a separate form for each person who has paid travel costs or has had travel costs paid for them. Part 4 tells you where to send the completed form.

Can I get a refund for an eye test?

If you pay for an NHS sight test, glasses or contact lenses then find out that youre entitled to free or reduced cost treatment you may be able to claim a full or partial refund. You must make your refund claim within three months of paying charges.

How do I claim a refund on my glasses?

To apply, download, print and return a HC5 refund form with your original receipt and optical prescription. The HC5 form tells you where to send it. To claim a refund of optical charges paid online, print and send the payment invoice with your HC5 and optical prescription.

What is the HC5 claim form for optical charges?

Use this form to claim back the cost of a sight test, glasses or contact lenses on low income grounds. For glasses and contact lenses, the maximum refund anyone can have is the voucher value that matches their prescription. You may also have to fill in an HC1 claim form for the NHS Low Income Scheme (see part 4).

Where do I send my HC5 O form?

You can send your HC5 form properly filled in together with receipts and any evidence needed art the address: NHS Business Services Authority, Help with Health Costs, Bridge House, 152 Pilgrim Street, Newcastle upon Tyne NE1 6SN.

How to get free eye test voucher?

Eligibility for NHS-funded free eye tests Excluding branch promotions, most of the free eye tests provided by high street opticians are funded by the NHS. This means that if you have an eye condition or are on a low income, youre entitled to a free eye test, with an NHS optical voucher, at least every two years.

Can I get a HC5 form online?

You can also order a form online and well post it to you. The HC5(W) form cannot be ordered online - call 0300 330 1343 and well post the form to you. To claim a prescription refund, ask your pharmacist for a FP57 refund receipt when you pay, you cannot get one later.

Can I claim for prescription glasses?

If your glasses are needed solely for business purposes, you can claim them back against tax. But remember youll need to be able to prove this. On the other hand, if you use the glasses for both business and personal purposes, you may be able to claim a proportion of the cost back against tax.

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Get the up-to-date hc5 optical form online 2024 now

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The best way to edit Hc5 optical form online online

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Got questions?

What is a HC5 form?

Can I get a refund for an eye test?

How do I claim a refund on my glasses?

What is the HC5 claim form for optical charges?

Where do I send my HC5 O form?

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How to get free eye test voucher?

Can I get a HC5 form online?

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