Travel Documents

Required Documents Before Travel

• TRICARE Authorization for Specialty Care appointment
• Appointment confirmation from treating facility
• If a non-medical attendant (NMA) is required, a signed letter from referring physician (initial appointment only) stating the medical necessity for a NMA. For all follow up appointments, a validation letter stating a continued medical necessity requesting a NMA is required from the treating physician.

Patient Travel Office Issues Authorizations

• Memorandum for travel to and from treating facility
• Non medical attendant, if determined a medical necessity by referring physician
• Rental vehicle, if necessary
• Counseling Checklist – Will receive from patient travel clerk when receiving authorization memos. (Document will be uploaded in Defense Travel System when submitting voucher).

Required Documents After Travel

• Confirmation of Specialty Care Form or an appointment validation letter from the treating facility signed by a provider/facility representative indicating the appointment was kept (must include office letterhead with address, phone number, and signature block).
• Paid itemized meals receipts
• Paid toll receipts
• Paid itemized lodging receipts. Lodging receipts must be in patient’s name to be reimbursed. Should a NMA travel with patient, paid itemized lodging receipts must be in NMA’s name. All shared expenses can only be claimed by one traveler.
• Paid itemized receipt of pre-authorized rental vehicle. Only compact-sized vehicle is reimbursable.

Forms

Completed forms must be sent to the Travel network email address here, or presented to Patient Travel Office for processing.

• DTS Profile – Data Entry Form
• DD 1351-3 - Statement of Actual Expenses
• Confirmation of Specialty Care Form

Informational Links

• Joint Travel Regulations (JTF) at Defense Travel Management Office
• Travel Reimbursement at TRICARE