Get Af1 Form

Completing the Af1 Form online can streamline your registration process and save time. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete your Af1 Form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your personal details. Enter your surname, maiden name (if applicable), and forename in block capitals. Next, provide your complete address, date of birth, occupation, first language, nationality, and country of birth.
3. Fill in your contact details, including your home telephone, work telephone, mobile telephone, and email address to ensure we can reach you regarding your registration.
4. Provide next of kin contact details. Include the name of your next of kin, their relationship to you, and their contact information.
5. Indicate if you require any additional services. Specify if special needs assistance or an interpreter is required by selecting yes or no.
6. Include your referring doctor’s details if applicable. Provide their name, address, and telephone number.
7. Enter your GP details, including their name, address, and telephone number.
8. Complete the health insurance section with your scheme and plan details, your subscriber's name, and subscriber number.
9. If you have a Drug Payment Scheme (DPS) card, include the card number. If not, follow the instructions provided to apply for one.
10. If you have any pharmacy details, fill in the name, address, and telephone number of your preferred pharmacy.
11. Finally, review all provided information for accuracy, then save changes, download, print, or share the form as needed.

Start completing your Af1 Form online today for a smooth registration experience.