Main information
An authorised healthcare provider or its representative may collect prescription forms or blue-striped claim forms from the municipal authority.
This applies to you if
You are an authorised healthcare provider or its representative, and you need to collect prescription forms and/or blue-striped claim forms from the municipal authority.
When to use this service
Vyřízení služby - elektronicky
What you need if you are using this service
Notify the municipal authority that you wish to collect a prescription form and/or blue-striped claim form, but collection is possible only by person.
Where and how to solve this service
Request to collect via the databox of the relevant municipal office.
How much will you pay
None
Vyřízení služby - osobně
What you need if you are using this service
Notify the municipal authority that you wish to collect a prescription form and/or blue-striped claim form. Collect in person (by a person authorized to act on behalf of the healthcare provider or a person acting under a power of attorney) from the relevant municipal office.
Where and how to solve this service
Only in person at the relevant municipal office.
How much will you pay
None
Additional information
What is the benefit of this service
Prescription forms and blue-striped claim forms will only be issued to authorised persons.
Appeal options
There is no appeal procedure.