(NI or NHS Number)
(dd/mm/yyyy)
Delivery Address
a confirmation email will be sent to you at this address

Terms of Use
I acknowledge that I have British, EU, EEA or Swiss nationality. I acknowledge that all persons to be specified in this application are UK residents. I acknowledge persons named have consented to their personal details being disclosed. I acknowledge the main applicant must be 16 or over. I acknowledge the information that I give on this form is correct and complete to the best of my knowledge. I acknowledge that should any person on this application decide to remain abroad to live or work, then the relevant authorities must be informed and the EHIC returned. I acknowledge that this card is not an entitlement card for NHS services, or proof of identity. I acknowledge that I will lose the right to cancel the order within the statutory period of 14 working days as we will commence the delivery of an order and before this statutory period ends. Therefore the services will have deemed to have been provided and you will lose the right to cancel your order. I further acknowledge I will take the time to read -limit limited terms and conditions. I acknowledge that an address located within the United Kingdom must be provided in order for your EHIC card to be issued and will not be able to get it issued aboard using our service. I acknowledge the organisation known as -limit limited has links provided at the bottom of every page of their website and they can be viewed at the bottom of all pages of the website I acknowledge to have read the Privacy Policy and Terms and Conditions of the -limit limited.