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CSA Services > Family Practitioner Services > How to get a medical card and entitlement to NHS services > Translations

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.

Translations

Language
English Click here for an application form for a medical card English2007.pdf
Portuguese Portuguese2007.pdf
Polish Polish2007.pdf
Latvian Latvian2007.pdf
Czech Czech2007.pdf
Lithuanian Lithuanian2007.pdf
Russian Russian2007.pdf
Slovak Slovak2007.pdf
Urdu Urdu2007.pdf
Irish Cliceáil anseo i gcomhair foirme iarratais Irish2007.pdf
Hindi Hindi2007.pdf
Chinese (complex) Chinese2007.pdf
Chinese (simplified) Click here for an application form for a medical card Chinese2008.pdf
Bulgarian Click here for an application form for a medical card Bulgarian.pdf
Romanian Click here for an application form for a medical card Romanian.pdf
Hungarian Click here for an application form for a medical card Hungarian.pdf