Want to report a change of address or request a new medical card?

If you would like to report a change of address or request a new medical card please submit the form below. Mandatory fields are marked *

PLEASE NOTE:

This form is for Northern Ireland residents only who are currently registered with a GP practice. If you need to register with a GP please complete a HS200 (or a HS22X if registering from outside the UK) and bring along to your chosen practice. Forms HS200 and HS22x are available at GP Practices.