Apply for a Long-Term Illness Scheme card

To apply, you must be living in Ireland and intend to live here for at least 1 year.

How to apply

To apply, download and complete an application form:

• Long-Term Illness Scheme application form (PDF, 404KB, 6 pages)
• Scéim na dTinneas Fadtéarmach foirm iarratais (Irish, PDF, 1163KB, 6 pages)

If you want us to send you a form by post:

• phone 0818 224 478
• email clientregistration@hse.ie

Where to send the form

Send your application form to:

Long-Term Illness Scheme,
Client Registration Unit,
PO Box 12962,
Dublin 11,
D11 XKF3

What to include in your application

Include a medical report from your GP or consultant.

To show that you live in Ireland, include a copy of one of these with your application:

• a utility bill dated within the last 12 months - gas, electricity or phone
• a recent bank statement or credit card statement
• a current car or home insurance policy in the applicant's name
• an official document from a government department, the Revenue or a local authority

Check the status of your application

When you apply and provide a mobile number, we text you a reference number. If you do not provide a mobile number, we post the reference number to you.

You can use your reference number to check the status of your application online.