Treatment reimbursement request form

To be completed in the details of the person requesting assistance.

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Once clicking send, if you have not agreed to our GDPR Policy beforehand, please log on to your online membership portal, MyPage, found at the top of this page and select the GDPR button on the home page. This will speed up any requests for assistance as we cannot agree to funding if this option is not ticked.


If you are a new user of MyPage, please follow these instructions:


1. Click forgot password

2. Follow on screen instructions (ensure we have the correct details on file that you are entering otherwise it won’t recognise you)

3. Reset password by clicking on link in email

4. Log in again using email address (or membership number) and new password



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