Step 1 of 6 16% Before you startYou can use this service to apply for a refund of reasonable travel costs if you had an appointment with us within the past 3 months. You can claim help with travel costs if you or your partner (including civil partner) receive any of the following benefits: Income Support income-based Jobseeker’s Allowance income-related Employment and Support Allowance Pension Credit Guarantee Credit you receive Universal Credit and meet the criteria You can also claim for help with travel costs if: you’re named on, or entitled to, an NHS tax credit exemption certificate (if you do not have a certificate, you can show your award notice) – you qualify if you get child tax credits, working tax credits with a disability element (or both), and have income for tax credit purposes of £15,276 or less you have a low income and are named on certificate HC2 (full help) or HC3 (limited help) – you can apply for these certificates through the NHS Low Income Scheme Find out more about the scheme and eligibility criteria (opens in new window).Eligibility(Required) I agree I am eligible to claim travel expenses and meet the above criteria(Required) About youYour name(Required) First Last Your email(Required) Your authorised escort's nameOptional First Last Your appointmentWhat type of appointment was this?(Required) My first appointment A regular appointment Which service did you attend?(Required)Adolescent and young adult serviceAutism assessment serviceCamden adolescent intensive support service (CAISS)Camden CAMHS children looked after and unaccompanied asylum seekersCamden CAMHS early intervention service for psychosisCamden CAMHS wellbeing teamCamden MOSAICCity and Hackney primary care psychotherapy consultation service (PCPCS)Couples unitCreative art therapyEating difficulties and avoidant restrictive food intake disorders (ARFID)Family drug and alcohol court (FDAC)Family mental healthFirst stepFitzjohn’s unitForensic CAMHS (FCAMHS)Fostering, adoption and kinship careGender identity clinic (GIC)Gloucester HouseGloucester House outreachHertfordshire outreach serviceMental health support teams (MHST) in schoolsNorth and South Camden community CAMHSParent consultation servicePortman clinicPsychological therapies for autism and learning disabilitiesPsychotherapyTrauma serviceWhole family serviceWhole family service (perinatal)Young people’s consultation service (YPCS)When was your appointment?(Required) Month Day Year Your journeyWhere did you start your journey?(Required) Address or train station City Post code if known Where did you finish your journey(Required) Tavistock Centre 5 Pancras Square Ampthill Square Bounds Green Health Centre Cheshunt Community Hospital Colne House, Watford Gloucester House Greenland Road Children’s Centre Kentish Town Health Centre Monroe Centre Portman Clinic St Leonard’s Hospital Other What transport did you use?(Required)Tick all that apply London Underground Bus Coach Train Taxi Car How many miles did you drive?(Required)What was the cost of your return journey?(Required)This is the total amount you spentPlease upload your proof of travel(Required)Please upload any tickets or receipts from your journey. If you travelled on the London Underground or by bus and paid using Contactless, you can upload a screenshot of your fare from the TfL website. Drop files here or Select files Max. file size: 10 MB. PaymentLet us know how you would like to be paidHow would you like to receive your refund?(Required) Cash Bank transfer Bank detailsIf you wish to be paid by bank transfer, please let us know your detailsName on account First Last Sort codePlease enter a number from 000001 to 999999.Account numberBank name
