PTSS forms
The following forms can be completed online or downloaded as a PDF or Word document.
For more information about how to complete a form, consult the user guide. All forms need to be printed and signed before they are submitted.
If you are unable to download these forms, you can contact your local patient travel office and ask them to email or post you a copy. Alternatively, you can get a copy of these forms from your local hospital or health facility. Check the contact details for your local health facility or patient travel office.
Patient registration—(Form A)
Use this form to register with the Patient Travel Subsidy Scheme (PTSS). If you are already registered with the PTSS and your details have not changed you do not need to re-register. If your details have changed since you registered, use this form to update them.
- Register here for PTSS
- Online form
- Download form as—an alternative is here
- Download form as Word document
- Download user guide for registration form
Travel referral—(Form B)
This form is completed by the patient's GP or specialist. It needs to be submitted as part of the patient's application for a PTSS travel subsidy.
- Online form
- Download form as — PDF document
- Download form as Word document
- Download user guide for travel referral form
Appointment attendance—(Form C)
Use this form to confirm that a patient has attended their specialist appointment. This form needs to be submitted in order for a patient to claim their travel subsidy payment. A new form is needed for each appointment.
- Online form
- Download form as—an alternative is here
- Download form as Word document
- Download user guide for appointment attendance form
Accommodation attendance—(Form D)
Use this form to confirm that a patient has attended their approved accommodation. This form needs to be submitted in order for a patient to claim their travel subsidy payment.
- Online form
- Download form as —an alternative is here
- Download form as Word document
Repatriation request—(Form E)
This form is to be completed by the administering Hospital and Health Service (HHS) to support the repatriation of a deceased patient.
- Online form
- Download form as—an alternative is here
- Download form as Word document
Patient Vendor Banking Details
Use this form to register your bank account details with the Patient Travel Subsidy Scheme (PTSS). If you are already registered with the PTSS and your details have not changed you do not need to re-register your banking details. If your banking details have changed since you registered, use this form to update them.
PDF software
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