Please click the links below to complete the forms. To download a pdf document you need Adobe Acrobat Reader, a free plugin that enables you to view forms and multimedia documents; please click here to download. These forms must be completed, signed and returned to us for processing.

You can return the forms to us in the following ways:

By mail:   PO Box 265, Fortitude Valley, Queensland 4006
By fax:    (07) 3252 3239
By email: 

New member forms

Transfer Certificate Request 

Direct Debit Request and Service Agreement

Australian Government Rebate

Existing member forms


Online claim - click on the link and follow the instructions

Email/manual claim - right click on the link and select 'Save link as'

Health Management Program Approval Form 

Medicare Claim Form 

Medicare Two Way Form 

Membership changes

Change to membership details 


Student Dependant Registration 

Extended Dependant Cover 

Suspend your membership

Application to suspend membership while travelling overseas 

Application to suspend membership due to financial hardship 

Authority forms

To protect your privacy, we require your written permission to share information with a third party about your policy or to allow another person to make transactions on your policy.

Spouse/Partner Authority 

Policy Enquiry Authority 

Health Hub 

Confidential Medical History Form

Dental Record Release 

Optical Record Release 

Membership card

Order Replacement Card