European Health Insurance Card Online
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EHIC Renewal
EHIC Application
Temporary Replacement Certificate
Enter Details
Identity Details
First Name*
Last Name*
Gender*
Male
Female
Date Of Birth*
DD/MM/YYYY
PPSN*
e.g 1234567X
Home Address
Line 1*
Line 2*
Line 3*
Country*
Ireland
County*
(select county)
CARLOW
CAVAN
CLARE
CORK
DONEGAL
DUBLIN
GALWAY
KERRY
KILDARE
KILKENNY
LAOIS
LEITRIM
LIMERICK
LONGFORD
LOUTH
MAYO
MEATH
MONAGHAN
OFFALY
ROSCOMMON
SLIGO
TIPPERARY NORTH
TIPPERARY SOUTH
WATERFORD
WESTMEATH
WEXFORD
WICKLOW
Local Health Office*
Carlow/Kilkenny
Cavan / Monaghan
Clare
Cork - North Lee
Cork - South Lee
Donegal
Dublin North Central
Dublin South City
Dublin South East
Dublin South West
Dublin West
Dun Laoghaire
Galway
Kerry
Kildare / West Wicklow
Laois / Offaly
Limerick
Longford / Westmeath
Louth
Mayo
Meath
North Cork
North Dublin
North Tipp./East Limerick
North West Dublin
Roscommon
Sligo / Leitrim
South Tipperary
Waterford
West Cork
Wexford
Wicklow
Dispatch Address
Tick box to use same address as above
Line 1*
Line 2*
Line 3*
Line 4
Country
Ireland
©Copyright HSE, Primary Care Reimbursement Service, Fri Feb 22 10:27:39 GMT 2019