You can apply for the Long-Term Illness Scheme by post.
Download an application form:
Complete the form and post it to:
Long-Term Illness Scheme,
Client Registration Unit,
PO Box 12962,
If you cannot download the form:
What to include in your application
You'll need to provide your:
- full name
- date of birth
- PPS number
- contact details
- proof of address
Your doctor or consultant will need to sign the form and provide a medical report.
On the form, they will list any:
- long-term illness conditions you have
- medication and appliances you need to treat your condition
Incomplete applications take longer to process. This is because we may need to contact you for more information.