Overseas Healthcare Services
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How to complete this form
The quickest way to apply for a card is online at www.nhs.uk/ehic
or by calling 0300 330 1350 from the UK or +44 191 279 0575 from abroad.
Lines are open Monday to Friday 8am to 6pm, and Saturday 9am to 3pm (UK time).
As the main applicant, you can also apply on behalf of your partner and/or any dependent children. For
each applicant or family member you are applying for, you must complete all the questions asked. For
more detailed information visit www.nhs.uk/healthcareabroad.
Post your completed application to: NHS Business Services Authority, EHIC, Bridge House, 152 Pilgrim
Street, Newcastle upon Tyne, NE1 6SN.
EHICS 0220
The NHS Business Services Authority (NHSBSA) and the Department of Health and Social Care are
jointly responsible for this service. We will use the information that you have given us to process
and verify your applications and to make payments to and recover treatment costs from countries
within the EEA, Switzerland and Gibraltar. We may share your information with the Department for
Work and Pensions, HM Revenue and Customs, NHS England, Scotland, Wales and Northern Ireland
and Gibraltar Health Authority (to validate your information), NHS Counter Fraud Authority and
international healthcare providers and administrators (to prevent, detect and investigate fraud and
error). We may share patterns and trends gained from patient information with NHS commissioners,
service providers and NHS England, Scotland, Wales and Northern Ireland (to plan and improve NHS
services). We will not transfer your Personal Data outside of the UK, EEA, Switzerland or Gibraltar.
Data will be deleted from our systems and files no later than 48 months after the expiry date of
your EHIC. Further details are available at www.nhsbsa.nhs.uk/yourinformation.
European Health Insurance Card (EHIC) application form
How we use your information
1. Declaration - Read before signing
I understand that should the main applicant have a change to residency status, move abroad to live, or
work on a long-term basis, then he or she may no longer be entitled to a UK EHIC. In these
circumstances NHSBSA must be informed and, if required, all associated EHICs returned.
I understand that if I have used the EHIC to access healthcare abroad when I am not entitled to do so, I
may be liable for the full cost of the treatment. I also understand that this also applies to EHICs for other
people named on this application.
I understand that the EHIC does not prove entitlement to NHS services, and does not prove entitlement
to planned treatment outside the UK. I also understand that this card is not a proof of identity or
residency in the UK and is not an alternative to travel insurance.
I have read and understood the eligibility requirements for receiving an EHIC in the ‘Important
information’ section (page 6 of this application form). I confirm that I will give complete and accurate
information in relation to this application. I understand and accept that if I provide NHSBSA with false or
misleading information I may be liable for criminal prosecution.