There is no specific list of medical conditions for which authorisation to travel abroad for treatment may be granted. Where an individual wishes to receive medical treatment in another EU member state, he or she must apply to the local health board for authorisation for the treatment in question. The health board assesses each individual application on the basis of criteria issued by the Department, which includes the submission of the necessary medical evidence by a hospital consultant. If authorisation is granted, a form E112 is issued which confirms the health board's commitment to pay the cost of treatment.