HEALTHCARE PROVIDERS INFORMATION AND FORMS
Here is a link to the Ministry of Health website where you will find information relating to the process required for claiming free headwear - click here to find out more about this service.
DOWNLOADABLE CLAIM FORMS
To help us process your claim please select the appropriate form, download it and complete the information, then sign it and return it to us by post.
For Permanent or Temporary Hair Loss claims click here
This form is required to enable the Ministry of Health to process your claim for free headwear
Proforma Claim Form click here
Health care professionals can use this form to send information to the Department of Health
Patient Claim Form Pre Filled Out For Temporary Hair Loss CLICK HERE
This form is pre-populated to file a claim with the Ministry of Health for a TEMPORARY Hair Loss Subsidy