Application for a Health Care Card for former recipients of a Carer Allowance Health Care Card form (SS456)

Use this form to apply for a Health Care Card in your own name if you are a full time student 25 years of age or younger and your carer previously had a card for you.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 9 April 2018