New PATS Applicaiton/Claim form - combined form

For information and assistance regarding the trial form please contact the Pilbara or Wheatbelt region. Click on the above link for further information or a copy of the new form.

PATS Application/Claim Form

 

After receiving feedback from the  PATS 2018 Survey and trialling a combined PATS Application and Specialist Certification form in the Pilbara and Wheatbelt regions the form and been renamed the PATS Application/Claim form.  Residents and medical practitioners in Albany have provided feedback to the revamped form for several months which has enable PATS to introduce it to all regions.

PATS will still accept the PATS Application (yellow form) and the PATS Certification form (blue form) or the Pilbara/Wheatbelt trial form but in time these will become obsolete and replaced with the new form.

The new single PATS Application/Claim form will be distributed throughout the regions in the coming weeks   PATS has kept the distinguishing colours to enable recognisable sections to be completed by Patients, Referring GP's and Specialists. The form is available in alternative format upon request and will be available from your Regional PATS Office, local hospital or you can download a copy of the form here

A PATS Information Sheet highlighting the benefits as well as the process accompanies the Application/Claim form has been created and is available here.

If you have any questions regarding the new PATS Application/Claim form  contact the relevant Regional PATS office.   

 

Process for PATS assistance before you travel     

  • Ask your GP to complete and sign Section B
  • Complete your information and sign Section A
  • Take/send your completed form to your local hospital or Regional PATS Office
  • Your form will be processed and you will be informed of the outcome by the Regional PATS Office
  • If approved take your form to your specialist appointment
  • Ask the specialist or clinic employee to complete and sign Section C
  • If your specialist is referring you onto a different speciality request the referral details to be completed.
  • Return your completed form to your local hospital/regional PATS office with any receipts to be processed.

 Process for PATS assistance after you travel

  • Ask your GP/Specialist to complete and sign Section B
  • Complete your information and sign Section A
  • Take your completed form to your specialist appointment
  • Ask the specialist or clinic employee to complete and sign Section C
  • If your specialist is referring you onto a different speciality request Section C:1 be completed
  • Return your completed form to your local hospital/Regional PATS office with any receipts 
  • Your application will be processed and either approved or declined.

If you have any queries regarding your application please contact your respective Regional PATS office.

             

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