Fill Out the HC1 Form Online

What is the HC1 form?

The HC1 is the claim form for the NHS Low Income Scheme, used to apply for help with health costs like prescriptions, dental treatment, sight tests, and travel to appointments.

The NHS Business Services Authority also offers an online eligibility checker and application, which it recommends as the fastest route; the HC1 is the paper alternative for anyone who cannot or prefers not to apply online.

What is the HC1 used for?

• Claims full or partial help with NHS prescription charges.
• Claims help with dental treatment and sight test costs.
• Claims help with the cost of travelling to NHS appointments.

What information is required?

• Personal details and National Insurance number.
• Household income, savings, and investments.
• Details of a partner or dependants, if applicable.
• Any benefits currently received.

How to fill out the HC1

• Enter your personal details and National Insurance number.
• Report your income, savings, and any benefits received.
• Add details of a partner or dependants if they apply.

The editor guides you section by section, so you can review every entry before you download.

Who needs to file it?

Anyone on a low income who is not automatically entitled to help with health costs (through certain benefits or exemption certificates) can apply using the HC1.

Is there a faster way to apply?

The NHS Business Services Authority recommends applying online through its eligibility checker, which is generally faster than the paper form. The HC1 remains the official fallback for anyone without reliable internet access or who prefers to apply by post.

Where do I send it?

Once signed, the HC1 is posted to the NHS Business Services Authority at the address printed on the form.

Where can I get a blank HC1?

The form loaded on this page is the current official NHSBSA edition (V6), ready to fill in and download.