Procedure 2: Additional health card

What you need to have to hand

1. Cl@ve or certificado digital to sign online (if not, go in person with cita previa).
2. DNI/NIE of the holder and of the person to add.
3. Volante de empadronamiento reciente (menos de 3 meses) of the address where you live.
4. Libro de familia or birth certificate/certificado de pareja de hecho.
5. Número de la Seguridad Social (NUSS/NAF) of the holder and, if available, of the beneficiary.

Documentation

• Identity: DNI/NIE (or passport if there’s no NIE yet).
• Empadronamiento: get a new one if yours smells old. Without it, KO.
• Family link: libro de familia, certificado de pareja de hecho or marriage certificate.
• Right to care: certificado del INSS if you already have it (adds clarity). Sede: https://sede.seg-social.gob.es
• Holder’s card: current tarjeta sanitaria of the holder (front and back photos).
• Representation: signed autorización if someone else files it for you.

Step-by-step

1. Go to the Sede de la Seguridad Social (https://sede.seg-social.gob.es) and check your right to asistencia sanitaria. Download the certificate if you can.
2. Open your Servicio de Salud autonómico portal and look for “Tarjeta Sanitaria Individual”. Examples: Madrid (https://www.comunidad.madrid/servicios/salud/tarjeta-sanitaria-individual) and GVA (https://www.gva.es/es/inicio/procedimientos?id_proc=17358).
3. Book cita or start the online procedure. If online, log in with Cl@ve/certificado, fill the beneficiary details and attach the scanned documents.
4. Sign and register the application. Keep the justificante. If you go in person, take originals and copies to the health centre at your appointment.
5. Check the status in your carpeta/portal de salud. They usually give a justificante provisional. The physical card arrives by post in 1–4 semanas.
6. If it doesn’t arrive in time, complain via the same portal or at the health centre. If you come from another CCAA, ask about the tarjeta de desplazado while they close the transfer.

Tricks that save you time

• Get the empadronamiento before the appointment. Better if it has a verifiable CSV.
• Scan to PDF and make it clear. Crooked photos = requerimiento and delay.
• If the beneficiary is over 14, have their NUSS ready. If not, request it at Importass (https://importass.seg-social.es).
• Appointments appear early. Log in at first hour and refresh.
• Keep the certificado del INSS handy: avoids extra requests.

Common mistakes that can derail your application

1. Expired empadronamiento: they reject it.
2. Uploading blurry or incomplete photos: results in a requerimiento and weeks lost.
3. Not proving the relationship (unregistered partner): they won’t accept the beneficiary.
4. Still registered in another CCAA: process blocked until the adscripción changes.
5. Forgetting the autorización if a relative files it for you: process stopped.