You can pick up an HC1 claim
form from a Jobcentre Plus Office or NHS hospital. Your doctor,
dentist or optician may have one too. You can also request
a form by telephoning 0845 850 1166
What is a HC1 Claim Form ?
The HC1 form can be used to claim help with NHS Prescriptions;
NHS Dental Treatment; NHS wigs and fabric supports;
sight tests, glasses and contact lenses; and travel
to hospital for NHS treatment.
How do I get a
HC1 Form ?
Simply use this online
form request facility.
or
You can pick up an
HC1 claim form from a Jobcentre Plus Office or NHS hospital.
Your doctor, dentist or optician may have one too. You
can also request a form by telephoning 0845 850 1166.
Your personal data
The NHS Business Services Authority (NHSBSA)
will only use the personal information provided on this on-line form to process
your request for an HC1 claim form.
Your personal data
will be sent via e-mail across the Internet to the NHSBSA.
We will not disclose
your personal data to any third party or transfer it
outside of the European Economic Area.
The data entered on
this form will be deleted no later than one calendar
month from today.
