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