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How do I fill this out?
To fill out this application form, start by ensuring you have all required documents ready. Complete all sections accurately, marking any irrelevant questions as N/A. Finally, submit the complete form along with the necessary referral letter from your consultant.
How to fill out the Health Service Executive Treatment Abroad Application?
1
Gather all necessary documents and information.
2
Complete Section A of the application form.
3
Have your referring consultant fill out Section B.
4
Attach the consultant’s referral letter.
5
Submit the completed form to the Treatment Abroad Scheme Office.
Who needs the Health Service Executive Treatment Abroad Application?
1
Patients seeking treatment not available in Ireland.
2
Individuals referred by their consultant for specialized care.
3
Patients who meet the medical necessity requirements for treatment abroad.
4
Clients needing to access healthcare services in the EU/EEA or UK.
5
Individuals who have been residents in Ireland during treatment referral.
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1
Open the PDF on PrintFriendly.
2
Click on the edit icon to modify the text fields.
3
Make necessary changes to your application form.
4
Review your edits for accuracy.
5
Download the updated PDF once completed.
What are the instructions for submitting this form?
To submit your application form, send the completed form with the required documents via post to the Treatment Abroad Scheme Office at Health Service Executive, Seville Lodge, Callan Road, Kilkenny, R95 DKK2. Alternatively, you can fax your application to 056 778 4549 or email it to treatmentabroad.scheme@hse.ie. Ensure to double-check all information for completeness before submission to avoid any delays.
What are the important dates for this form in 2024 and 2025?
Important application deadlines remain consistent; please check the HSE website for updates in 2024 and 2025. Ensure timely submissions to avoid disruptions in treatment abroad.
What is the purpose of this form?
The purpose of this form is to allow patients residing in Ireland to access necessary medical treatment not available within the country. It facilitates referrals from Irish consultants to approved healthcare providers in the EU/EEA, Switzerland, or the UK. By following the outlined procedure, patients can ensure their applications are valid and processed efficiently.
Tell me about this form and its components and fields line-by-line.
- 1. Patient's Personal Information: Includes name, address, contact details and date of birth.
- 2. Medical History: Details about the patient's health conditions, treatments sought, and referring consultant.
- 3. Consultant's Recommendation: This section summarizes the referring consultant's endorsement and treatment justification.
- 4. Treatment Details: Information regarding the specific treatment being sought abroad.
- 5. Declaration: Assurances regarding the accuracy of submitted information and consent.
What happens if I fail to submit this form?
Failure to submit this form can result in prolonged delays in accessing necessary medical treatments. Additionally, an incomplete application will be returned, necessitating a resubmission with the required details.
- Delayed Treatment: Patients may experience delays in receiving necessary medical care.
- Increased Costs: Patients may incur additional costs due to prolonged waiting times.
- Non-Compliance: Incomplete submissions may lead to ineligibility for treatment abroad.
How do I know when to use this form?
- 1. Recommendations for Special Treatments: If a consultant recommends specialized treatment unavailable locally.
- 2. Referral for Emergency Care: Use this form when urgent treatment abroad is necessary.
- 3. Accessing Cutting-Edge Treatments: When seeking new medical technologies or procedures not offered in Ireland.
Frequently Asked Question
Who can use this application form?
This application form can be used by patients in Ireland seeking treatment abroad as recommended by their healthcare consultant.
What should I include with my application?
You need to submit the completed application form along with the referral letter from your consultant.
How long will the processing take?
The processing of a complete application typically takes between 15 to 20 working days.
What happens if I don’t have all documents ready?
Incomplete applications will be returned without exception, causing delays.
Can I submit an application for immediate treatment?
No, you must await the approval of your application before scheduling any appointments.
Do I need my consultant's approval?
Yes, a referring consultant must certify your eligibility for treatment abroad.
Is telemedicine allowed during the application process?
No, telemedicine cannot circumvent the requirement for a physical appointment.
What are the contact details for the Treatment Abroad Scheme?
You can reach them via phone at 056 778 4900 or email at treatmentabroad.scheme@hse.ie.
Will my treatment abroad be covered?
If approved, the costs for your treatment abroad will be covered under the Treatment Abroad Scheme.
What if my treatment is available in Ireland?
Treatments available within Ireland do not qualify under the Treatment Abroad Scheme.
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