Download claim forms, policy change forms and other frequently used forms.
All individual medical insurance schemes
| Bupa Hospital Claim Form(1.66Mb PDF) | Bupa Clinical Claim Form1.97Mb PDF) |
| Declaration of Loss Card Form(78K PDF) |
| Pre-authorisation Form(590Kb PDF) | Change of Payment Method and Account Number Form(747Kb PDF) |
| Registration Variation Form(654Kb PDF) | Declaration of Loss Card Form(78K PDF) |
| Membership Transfer Form (802Kb PDF) | Application Form(2.89Mb PDF) |
| Pre-authorisation Form(590Kb PDF) | Change of Payment Method and Account Number Form(747Kb PDF) |
| Registration Variation Form(645Kb PDF) | Declaration of loss Card Form(78K PDF) |
| Membership Transfer Form(802Kb PDF) | Application Form(2.89Mb PDF) |
| Registration Variation Form(766Kb PDF) | Declaration of Loss Card Form(78K PDF) |
| Pre-authorisation Form(498Kb PDF) | Application Form(1.93Mb PDF) |
| Credit Card Authorisation Form(184Kb PDF) | 12-month Interest-free Monthly Instalment Plan Agreement (Diners Club Card)(182Kb PDF) |
| Registration Variation Form(1.52Mb PDF) | Declaration of Loss Card Form(78Kb PDF) |
| Application Form(355Kb PDF) | Credit Card Authorisation Form(357Kb PDF) |
| Registration Variation Form(663Kb PDF) | Conversion Form(353Kb PDF) |
| Application Form(78Kb PDF) |
| Registration Variation Form(724Kb PDF) | Change of Payment Method and Account Number Form(445Kb PDF) |
| Registration Variation Form(724Kb PDF) | Change of Payment Method and Account Number Form(445Kb PDF) |
| Bupa Critical Essential Care Claim Form(2.2Mb PDF) | Change of Payment Method and Account Number Form(371Kb PDF) |
| Membership Change Form(307Kb PDF) | Application Form(339Kb PDF) |
| Reinstatement Form(485Kb PDF) | Direct Debit Authorisation Form and Credit Card Authorisation Form(203Kb PDF) |
| 12-month Interest-free Monthly Instalment Plan Agreement (Diners Club Card) (180Kb PDF) |
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