The Group Surgery 257 North Queen Street, Belfast, BT15 1HS | Tel: 02890 748317

Non-English Speakers

In order to obtain a medical card you need to fill in an application form, which is called HS22X. This form is available in English and in a range of other languages. Please click on the respective links below to download the form in English and/or in translation.

EnglishClick here for an application form for a medical card
PortugueseClique aqui para obter um formulário de candidatura para um cartão médico
PolishKliknij tutaj, aby uzyskać formularz wniosku o kartę medyczną
LatvianSpiediet šeit, lai iegūtu medicīniskās kartes pieteikuma veidlapu
CzechKlikněte zde pro formulář žádosti o zdravotní kartu
LithuanianSpustelėkite čia, jei norite gauti medicininę kortelę
RussianНажмите здесь, чтобы подать заявку на получение медицинской карты
SlovakKliknite sem pre formulár žiadosti o lekársku kartu
Urduمیڈیکل کارڈ کے لئے درخواست فارم کے لیے یہاں کلک کریں
IrishCliceáil anseo i gcomhair foirme iarratais
Hindiमेडिकल कार्ड के लिए आवेदन पत्र के लिए यहां क्लिक करें
Chinese
(Traditional)
點擊此處獲取醫療卡申請表
BulgarianЩракнете тук за формуляр за кандидатстване за медицинска карта
RomanianClick aici pentru un formular de cerere pentru un card medical

Content courtesy of the Central Services Agency, N.Ireland.