Entitlement to help with health costs
(HC3 certificate)
What you’re entitled to
Prescriptions
This certificate does not entitle you to free prescriptions.
Sight tests
Towards a private sight test, you pay a maximum of:
£x.xx
How to use this certificate for sight testsGlasses or contact lenses
Towards an optical voucher, you pay:
£x.xx
How to use this certificate for glasses or contact lensesNHS dental treatment
Per course of treatment, you pay a maximum of:
£x.xx
How to use this certificate for dental treatment
Help with the cost of travel to receive NHS treatment
If you're referred by a doctor, dentist or optician
Towards travel, in a week you pay:
£x.xx
How to use this certificate for travelNHS Wigs, or NHS fabric supports
Per prescribed item you pay a maximum of:
£x.xx
How to use this certificate for wigs or fabric supportsCertificate details
Certificate number
123 456 789
Valid dates
from: 14 July 2010
to: 14 August 2010
This certificate does not affect any entitlement to help you already have, for example if you already get help because of your age or a medical condition.
Entitlement for
Priya Mattu
Vinay Mattu
Save a copy
You will need to show a copy of this information whenever you want to use it.