Application Forms : Medical Card and GP Visit Card
Change of Doctor (MCx)
Print this form and please carefully enter all details correctly. Then arrange for your GP to complete the 'Acceptance of Eligible Person' section.
Prescription Charge Refund Claim Form (PC1)
Print this form and follow the instructions on it to fill your application correctly
Note: Adobe Reader may be required to print forms.
© Primary Care Reimbursement Service | Disclaimer and Privacy Statements