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 or younger and your carer previously had a card for you.

Download and complete the Application for a Health Care Card for former recipients of a Carer Allowance Health Care Card form.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 3 February 2020