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Forms

Download  Medical Forms

MED 1

MED 1 Form

As you may know, you can claim tax relief for eligible medical expenses. In the past, when making a claim you would complete a MED 1 form but this is no longer the case. Click the “Learn More” button to visit revenue’s website for information on how to claim your tax relief.

Visit revenue’s website by clicking “Learn More”.

DPS Scheme

Drugs Payment Scheme (DPS) Card

Under the Drugs Payment Scheme (DPS) an individual or family will pay no more than €124 each calendar month for:

  • approved prescribed drugs and medicines
  • rental costs for a continuous positive airway pressure (CPAP) machine
  • rental costs for oxygen

If you don’t have a medical card and you pay more than €124 a month for any of these, you should apply.

Click the button to download the DPS form.

Medical Card

Medical Card Application Form

Anyone who is ‘ordinarily resident’ in the Republic of Ireland can apply for a medical card or GP visit card. This includes families, single people, even those working full or part-time. ‘Ordinarily resident’ means that you are living here and intend to live here for at least one year. 

Being eligible for a medical card depends on your circumstances and to see if you are eligible you can read the criteria on the HSE Website.

Click the button to download the Medical Card Application Form.

LTI Scheme

Long Term Illness (LTI) Scheme Application Form

To apply for the Long Term Illness (LTI) Scheme, download this application form, complete and return to your local Community Health Organisation.

Click the button to download the Long Term Illness Scheme Application Form.