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


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

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    If you prefer you can download and email back the application form below to