You can claim back the cost of NHS wigs or fabric supports.

You will need to complete an HC5(W) form to apply for a refund.

This guide will help you fill in your HC5(W) form.

The form is available online at www.nhsbsa.nhs.uk/hc5

You need to complete parts 1, 2, 3 and 4 of the form and the declaration and signature section. Do not complete part 5.

You can complete the form for yourself, or you can ask someone to do it for you.

If you need any further support to complete this form, please call us on 0300 330 1343.