Get Health Card Form

Filling out the Health Card Form online can streamline the process of obtaining your health card. This guide provides clear, step-by-step instructions on how to accurately fill out each section of the form, ensuring you provide all necessary information.

Follow the steps to complete your Health Card Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your employee code as given by the Data Transfer Agency (DTA). Then, tick the box indicating which identification you possess: Aadhaar Card Number or Aadhaar Enrolment Receipt Number. Fill in the corresponding numbers if you have selected either option.
3. Provide your personal details. Input your name exactly as it appears in the Pension Payment Order. Select your sex by ticking the appropriate box. Indicate your community status by ticking the relevant box for SC, ST, BC, Min., or Others. Enter your date of birth in the format dd-mm-yyyy.
4. Respond to the disability question by selecting 'Yes' or 'No.' If applicable, indicate the type of disability and percentage in the disability section.
5. Complete the marital status section by selecting from the options provided: Single, Married, Divorced, or Widowed. Enter your date of retirement in the format dd-mm-yyyy and provide details on your last posting.
6. Fill out your residential address details including house number, street, and district. Specify your Mandal or Municipality name and Village/Town/City name along with your mobile number and email address.
7. In the identification details section, provide your ration card number and any identification marks. Ensure you fill this section accurately.
8. Complete the pension office details, specifying the district from where you receive your pension, including the STO/APPO name and code.
9. Gather required attachments. Scan and upload the necessary documents including your Pension Payment Order, passport-size photo, Aadhaar card/receipt, and disability certificate if applicable.
10. For dependent family members, fill out their details including relationship, name, date of birth, and any disability, using similar criteria as your own information.
11. Review all entered information for accuracy. Once all sections are complete, you can save your changes, download a copy, print, or share the form as needed.

Complete your Health Card Form online today to ensure you have access to the medical services you need.