PATS – Application Form

The Patient Assistance Transport Scheme (PATS) provide assistance to people who live in rural South Australia who need to travel more than 100 kilometres each way to see a medical specialist that is not available locally.

To apply for PATS there are three documents to complete.

1: Letter signed by the referring doctor in your home town.
2: Letter signed by the specialist on the day of your appointment.
3: Image of your concession card.
4: This application signed by you as the AMYAC Member.

We encourage all members attending non-emergency medical appointments to submit PATS forms. The amount refunded under the PATS scheme is returned to the member’s Trust entitlement balance.

Forms, 1, 2, and 3 and the concession card image are required by SA Health to determine eligibility to PATS funding.  

For more information visit www.pats.sa.gov.au/

SERVICE STANDARDS

If your application is consistent with trust policies and budget you can expect approval within three business days.
View Standards

Online Application Form

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*Important* please read below for applications requirements:
You must include a photocopy of your concession card (back and front) to the Executive Office.

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.
Accepted file types: jpg, png, pdf, Max. file size: 64 MB.
Consent*
This field is for validation purposes and should be left unchanged.

If you prefer you can download and email back the application form below to trust@amyac.com.au

Download Pdf Carer’s Assistance Program Application Form