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Download Forms

Claim forms, membership change forms and other frequently-used forms are available for download here.

Frequently-used forms

Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Pre-authorisation Form (pdf, 624.49 Kb)
For members of Bupa CarePro, Bupa Care Kid, Bupa Together, Bupa HealthPlus and Bupa Transfer Care
Declaration of Membership Card Loss Form (pdf, 88 Kb)

Select your scheme to download forms

Please select your scheme from the blue box here and choose the form(s) you want to download. If you need any help in filling out the form(s), please do not hesitate to call us.

  • CarePro
  • Care Kid
  • Together
  • HealthPlus
  • HealthNet
  • Crystal
  • Gold
  • Critical Essential Care
  • Hospital Cash
  • Civil Servants
  • Wise Choice
  • Transfer Care
  • Bupa Care / Care Child
Product details and Schedule of Benefits (pdf, 1.96 MB)
Application form (pdf, 457.71 Kb)
Change of Payment Method and Account Number Form (pdf, 304.57 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Membership Transfer Form (pdf, 481.72 Kb)
Registration Variation Form (pdf, 391.68 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 3.03 MB)
Application form (pdf, 499.27 Kb)
Change of Payment Method and Account Number Form (pdf, 304.48 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 442.3 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 3.32 MB)
Change of Payment Method and Account Number Form (pdf, 303.42 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 415.86 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 1.56 MB)
Application form (pdf, 470.02 Kb)
Change of Payment Method and Account Number Form (pdf, 294.26 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 420.11 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 2.47 MB)
Application form (pdf, 459.71 Kb)
Change of Payment Method and Account Number Form (pdf, 277.19 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 420.81 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 2.42 MB)
Application form (pdf, 431.63 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 419.53 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 875.15 Kb)
Application form (pdf, 2.21 MB)
Change of Payment Method and Account Number Form (pdf, 270.16 Kb)
Registration Variation Form (pdf, 1.02 MB)
Reinstatement Form (pdf, 372.6 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Bupa Critical Essential Care Claim Form (pdf, 273.88 Kb)
Product details and Schedule of Benefits (pdf, 4.11 MB)
Application form (pdf, 462.06 Kb)
Change of Payment Method and Account Number Form (pdf, 296.92 Kb)
Registration Variation Form (pdf, 373.62 Kb)
Reinstatement Application Form (pdf, 319.34 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Product details and Schedule of Benefits (pdf, 814.75 Kb)
Application form (pdf, 431.87 Kb)
Change of Payment Method and Account Number Form (pdf, 297.15 Kb)
Registration Variation Form (pdf, 413.03 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Product details and Schedule of Benefits (pdf, 1.06 MB)
Application form (pdf, 496.21 Kb)
Conversion Form (pdf, 352.1 Kb)
Registration Variation Form (pdf, 346.6 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Hospital Claim form (pdf, 1.65 MB)
Product details and Schedule of Benefits (pdf, 2.41 MB)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Change of Payment Method and Account Number Form (pdf, 304.7 Kb)
Declaration of Membership Card Loss Form (pdf, 88 Kb)
Registration Variation Form (pdf, 340.5 Kb)
Reinstatement Application Form (pdf, 304.58 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 259.47 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 289.28 Kb)
Change of Payment Method and Account Number Form (pdf, 302.48 Kb)
Registration Variation Form (pdf, 414.22 Kb)
Hospital Claim form (pdf, 1.65 MB)
Clinical Claim Form (pdf, 1011.5 Kb)

For Enquiries

Our customer service officers are pleased to help you 24 hours every day.

Individual schemes

2517 5333

Bupa Gold schemes

2517 5383

Group schemes

2517 5388

or

Email us