European union forms

Please note!

When filling in the application, please use the file formats (pdf, doc or odt) on the EHIF website, documents sent as links will not be accepted. When submitting an application electronically, it is important to save the application form first on a computer, then fill it in with the necessary data and save it as a new document. Please provide the application submitted electronically with digital signature. Adobe Acrobat Reader is required to view and print PDF forms. You can download it on the Adobe website.

EU-related applications are also available at the EHIF’s customer service offices.

Required documents can be submitted:

by bringing them to the regional EHIF office;
by regular mail
by e-mailing in digitally signed form to info [at] haigekassa.ee (info[at]haigekassa[dot]ee).

Application for the European health insurance card e-service Ordering the European health insurance card	pdf	doc	odt
Application for prior authorisation for planned treatment abroad		doc	odt
Prior authorization for planned treatment abroad - medical council protocol form		doc
Application form for reimbursement of costs of health care service in the European Union Please note! This application cannot be sent by email. The application together with original documents must be taken to the EHIF’s customer service office or sent by regular mail to the address Lastekodu 48, Tallinn, 10113.	pdf	doc,	odt
Application form for reimbursement of the cost of a prescription drugs purchased in the European Union with an Estonian digital prescription	pdf	doc	odt
Application for an E104 form	pdf	doc	odt
Application form for Medical examination response NB: from 01.01.2021, form E116 will be replaced by a medical examination response. The medical examination response compliance guide can be found here. The response to the medical examination can also be opened from the guide. If you do not open this file in Chromes, please open it with Internet Explorer (available for download at https://www.microsoft.com/en-us/download/internet-explorer.aspx Adobe Reader can be downloaded here https://get.adobe.com/reader/) However, if you are unable to open and complete the medical examination response, you can issue the following document to the person to prove temporary incapacity for work here. In case of problems with the download, please contact the customer service of the Estonian Health Insurance Fund.	pdf
Application for S1 certificate		doc	odt
Application for termination of form E121/S1 and restoration of insurance with EHIF	pdf	doc	odt
Application for registration of an insured person and/or his/her family members in another EU member state Please note! The application together with original documents must be taken to the EHIF’s customer service office or sent by regular mail to the address Lastekodu 48, Tallinn, 10113.	pdf	doc	odt

European union forms

Please note!

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