Patient Travel Subsidy Scheme (PTSS)

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Please fill out this form below by typing into the fields then print date and sign it. If you do not have access to a printer please refer to the Frequently Asked Questions for other options.

You will need to lodge this form at your closest public health facility.

Learn more about the PTSS process and how to submit the form.

Travel application (Form B)

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Last updated:: 13 July 2026