The E-121 for permanent residents: If you have contributed to the national health services of your own country, and that country has an agreement with Spain on health services, you can also be covered if you stay for longer periods in Spain, or become a permanent resident here. Follow this link for the E111 form, for non residents.
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Then you need to bring a form E-121 in two copies with you to Spain, and register it with the Spanish health authorities. The registration is with the local Centro de Salud. They will keep one of the copies of the form, and fill in and stamp the other one, to be kept by you. After a while you will receive in the post a card identifying you as a person with certain rights to use the Spanish national health services. On it will be given the name of the medic you are to visit in case of illness, as well as the address of the next INSS health centre. If you go on visits to other countries from Spain, you must remember to get an E-111 from your local health centre, to be covered as a tourist abroad, even in your home country.
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