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PTSS forms

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.


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.


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.


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.


PDF software

To download PTSS forms you need to have Adobe Reader installed on your device. Download or update Adobe Reader for free.

Still having trouble? Try these troubleshooting ideas from Adobe.