Overseas Healthcare Services European Health Insurance ... 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Declaration section. Carefully read the statements and ensure you understand your responsibilities regarding residency and entitlement before signing.
3. Fill in the Main Applicant's details, including title, surname, forename(s), date of birth, NHS number, nationality, and current address. Ensure all information is accurate.
4. Complete the Spouse/Partner/Civil Partner section if applicable. Provide their details and confirm their residency status.
5. For each Dependent Child under 16 years old, fill in their title, surname, forename(s), date of birth, NHS number (if known), and confirm their residency status.
6. Review all sections for completeness and accuracy before submitting your application. Ensure you have included any necessary evidence for dependents living separately.

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