Get Medical Card Application

This guide provides a comprehensive overview of the steps required to successfully complete the Medical Card Application. Designed for individuals aged 70 years and older and their partners, this guide aims to support you in efficiently navigating the online application process.

Follow the steps to complete your Medical Card Application.

1. Press the ‘Get Form’ button to access the Medical Card Application and open it in your designated editor.
2. Begin filling out Part 1 with your personal details, including your name, date of birth, PPS number, and contact information.
3. Move to Part 2 to provide details about your spouse or partner, if applicable. Include their name, date of birth, PPS number, and whether they have previously held a Medical Card.
4. In Part 3, enter your income details as well as those of your spouse or partner, ensuring you detail the gross amount, frequency of payment, and include the necessary documentation as photocopies.
5. Proceed to declare any savings or investments you or your spouse or partner may have in Part 3, section C, providing details as necessary.
6. Complete the Declaration and Consent in Part 4, ensuring you read the statements carefully before signing.
7. For Part 5, fill in your doctor of choice’s name and address. If your spouse or partner has a different doctor, complete Part 6 accordingly.
8. Have your doctor complete the acceptance section in Part 5A and, if needed, ensure your spouse’s or partner’s doctor fills out Part 6A.
9. Conclude by reviewing the Checklist on page 8 to confirm you have completed all necessary parts of the form and included required documentation.
10. Save your changes, download, print, or share the completed application form as needed, before submitting it to the designated address.

Take the next step towards obtaining your Medical Card by completing your application online today.