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Submit a treatment authorisation request

Please note

If you are a hospital, you can securely search for and request pre-authorised treatment on Healthcode.

If you do not have access to this, please complete the form below.

This is the practitioner, hospital or clinic providing the service

Enter address manually

First line is required
Town/City is required
Postcode is required
Provider Type

Where the treatment will take place

If supplying multiple procedure codes, please separate with a comma

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