For Medicare Group Members, special local arrangements may apply
regarding the type of Claim Form and/or the method of submission. 

If in doubt, you should check with your employer before submitting your claim.

If you wish to continue to print a claim form click here

If any further help or information is required please contact us.

Tel: 01234 267371
Fax: 01234 218174
Email: info@phsa.org.uk