WA Country Health Service - PATS claim forms and information …
PATS Registration and Recipient Details – Form A. Use this form when registering for PATS for the first time. Update your details if you’re a current PATS recipient. To be submitted with either Forms B or C.
PATS Application/Claim Form PATS Reference No: ... If travel relates to a current application, after visiting your specialist complete the blue patient section only Title Surname Given Name(s) ... PATS will not be responsible for any loss or damage incurred during your travel
The combined PATS Application/Claim Form replaces the yellow PATS Application form and the blue PATS Certification form. About the Patient Assisted Travel Scheme (PATS): PATS is a subsidy scheme and does not cover all costs associated with your travel or accommodation.
PATS is a subsidy program funded by the Government of South Australia and administered through the six regional local health networks by the Rural Support Service.
1. Account Holder Information. Please print or write legibly when completing the account holder first and last name. Complete a separate form for your spouse and/or covered dependents. 2. Claims for Out-of-Pocket Expenses.
The Patient Assistance Transport Scheme (PATS) is a subsidy program that provides money to pay for some travel, escort and accommodation costs when people from rural and remote South Australia travel over 100 kilometres each way to see a specialist.
You can make an application online via a dedicated web portal at www.sahealth.sa.gov.au/PATS. Applying online makes it easier for you to apply for subsidy. Paper-based application forms can still be submitted via your local PATS office or via Australia Post. The application form is available in four sections: Section 1 for Local Doctors
The Patient Assistance Transport Scheme (PATS) is a subsidy program that provides money to pay for some travel, escort and accommodation costs when rural and remote South Australians travel over 100 kilometres to see a Specialist.
If this travel related to Motor Vehicle Insurance or Workers Compensation eligibility criteria applies, please contact your local PATS Office.
Patients - Patient Assistance Transport Scheme
PATS forms. The PATS online portal is quick and easy to use – login or register to make your claim. Make sure you have an email address and your Medicare number handy. However, paper-based PATS forms are still available if you need them and can be accessed below: Form 1: Application for travel and accommodation subsidies (individual appointment)