Fill in your details, invoices and bank account, then download a completed PDF in BLOCK letters. Everything runs in your browser — nothing is sent to a server.
Guide
To claim a medical reimbursement from NAS, fill in the NAS Reimbursement Claim Form, have your doctor complete, sign and stamp the medical section, then email the form with your invoices, receipts and reports to [email protected]. This free tool fills in the form in your browser and gives you a ready-to-print PDF.
Add the patient's name and card number as printed on the NAS card, plus date of birth, email and mobile number. NAS asks for BLOCK letters, so the PDF prints your answers in capitals.
List each invoice you are claiming (up to six fit on one form); the total per currency is added for you. Then enter your bank details. For transfers within the UAE the bank name, account holder and IBAN are mandatory; for transfers abroad, complete every field.
Open the filled PDF and print it. The boxes you still have to complete by hand are highlighted in yellow: the physician's signature, stamp and date, and your own signature and date.
The treating doctor completes section 2, then signs and stamps it. You can also enter the medical details in this tool first to save them time.
Email the signed form and your supporting documents to [email protected], or send them by courier, which NAS prefers. If you submit online, keep the original documents, because NAS may ask for them to finalize your claim.
Email it to [email protected]. NAS also accepts claims by courier and says courier is preferred, because some insurers can only reimburse against original documents. NAS sends an automatic acknowledgement when it receives your email.
Use the Medical Reimbursement Claim Form. It covers all treatments except dental, which has its own Dental Reimbursement Claim Form.
Your treating doctor. The section must be fully completed in BLOCK letters and carry the doctor's signature and official stamp.
NAS prior approval is required for all non-emergency hospitalizations. Before admission, email a detailed medical report and cost estimate on the doctor's signed and stamped letterhead to [email protected]. NAS says an approval is valid for 14 days.
By wire transfer or cheque, using the details on your claim form. NAS does not pay in cash. NAS accepts no liability for incorrect bank details, and transfers outside the UAE may attract bank charges.
English or Arabic. Documents in any other language must be translated before you submit them.
Call the NAS 24/7 helpline on 800-2311 or email [email protected] if your settlement has not arrived.
This tool is unofficial and not affiliated with NAS. It fills in NAS's own claim form, so the PDF you get is the official layout. Check the details with NAS before you submit, because requirements can change.
No. The form is filled in inside your browser and nothing you type is uploaded. If you tick "Save my details", your member and bank details are kept in this browser only, and you can delete them by unticking the box.
Based on NAS reimbursement FAQ, NAS reimbursement claim form (PDF). Last checked 13 October 2026. Unofficial tool, not affiliated with NAS Administration Services.