Backdating form

backdating form-17

This will help give you the benefit from the earliest possible date.

If you don't want to print a form yourself, e-mail us at [email protected] to ask us to send one by post.

If you bring everything we need, we will normally be able to work out your benefit within 48 hours or less.

If you are housebound, we can arrange to come to see you instead.

If you have an urgent medical need and you need to talk to one of our doctors after our regular hours, please call the location near you. Please contact your insurance company or you may call the location near you to find out if we accept your insurance plan.