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Download Forms

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

Don't forget that you can also submit your hospital and clinical claims on myBupa. It's more efficient and eco-friendly!

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Frequently-used forms

Hospital Claim Form (pdf, 1.24 MB)
For greater convenience, submit your hospital claim online! (Please be reminded to ask your attending doctor to fill in Part II of the hospital claim form before discharge)
Clinical Claim Form (pdf, 1.11 MB)
For greater convenience, submit your clinical claim online!
Pre-authorisation Form (pdf, 1.52 MB)
For members of Bupa CarePro, Bupa Care Kid, Bupa Together, Bupa HealthPlus and Bupa Transfer Care
Declaration of Membership Card Loss Form (pdf, 646.57 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.

  • Please select your scheme
  • Bupa Hero VHIS
  • MyFlexi VHIS
  • MyBasic VHIS Plan
  • Bupa VTop
  • CarePro
  • Care Kid
  • Together
  • HealthPlus
  • Care HealthNet
  • Crystal
  • Gold
  • Critical Essential Care
  • Hospital Cash
  • Civil Servants
  • Wise Choice
  • Transfer Care
  • Global Prestige VHIS Plan
  • Bupa Care / Care Child
  • BOC Life SmartViva Flexi VHIS
  • Bupa Safe Critical Illness
Brochure (including Summary of Benefits and Standard Premium Schedule) (pdf, 3.52 MB)
Policy and Benefit Information of the Certified Plan (pdf, 3.11 MB)
Supplement (Definition of Hospital) (pdf, 100.09 Kb)
Application form (pdf, 1.08 MB)
Brochure (including Schedule of Critical Illness Benefits and Table of Subscriptions) (pdf, 1.33 MB)
Application form (Applicable to enrolment in Bupa Hero VHIS Plan and Supplementary Critical Illness Benefit) (pdf, 1.09 MB)
Policy and Benefit Information of the Certified Plan (pdf, 2.68 MB)
Supplement (Inclusion of VAT and GST as Eligible Expenses) (pdf, 464.5 Kb)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Registration Variation Form (pdf, 1.55 MB)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Brochure (including Summary of Benefits and Standard Premium Schedule) (pdf, 2.22 MB)
Policy and Benefit Information of the Certified Plan (pdf, 1.8 MB)
Application form (pdf, 2.7 MB)
Policy and Benefit Information of the Certified Plan (pdf, 1.91 MB)
Supplement (Definition of Hospital)  (pdf, 101.09 Kb)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.34 MB)
Membership Transfer Form (pdf, 1.96 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Brochure (including Summary of Benefits and Standard Premium Schedule) (pdf, 1.38 MB)
Policy and Benefit Information (pdf, 1.35 MB)
Application form (pdf, 2.33 MB)
Policy and Benefit Information of the Certified Plan (pdf, 1.32 MB)
Supplement (Definition of Hospital)  (pdf, 99.99 Kb)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Membership Transfer Form (pdf, 442.06 Kb)
Registration Variation Form (pdf, 1.06 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 1.78 MB)
Application form (pdf, 2.97 MB)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.33 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 2.51 MB)
Application form (pdf, 2.33 MB)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Membership Transfer Form (pdf, 1.71 MB)
Registration Variation Form (pdf, 1.35 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 2.45 MB)
Application form (pdf, 2.33 MB)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Membership Transfer Form (pdf, 1.71 MB)
Registration Variation Form (pdf, 1.35 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 2.34 MB)
Application form (pdf, 3.42 MB)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.71 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 2.49 MB)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.68 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 1.85 MB)
Application form (pdf, 3.03 MB)
Change of Payment Method and Account Number Form (pdf, 929.17 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.82 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Change of Payment Method and Account Number Form (pdf, 925.96 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.83 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 2.79 MB)
Application form (pdf, 2.42 MB)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1.83 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Change of Payment Method and Account Number Form (pdf, 937.15 Kb)
Registration Variation Form (pdf, 2.85 MB)
Reinstatement Form (pdf, 622.9 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Bupa Critical Essential Care Claim Form (pdf, 476.68 Kb)
Product details and Schedule of Benefits (pdf, 581.93 Kb)
Application form (pdf, 2.01 MB)
Change of Payment Method and Account Number Form (pdf, 971.77 Kb)
Registration Variation Form (pdf, 1.12 MB)
Reinstatement Application Form (pdf, 544.75 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Product details and Schedule of Benefits (pdf, 2.44 MB)
Application form (pdf, 883.33 Kb)
Change of Payment Method and Account Number Form (pdf, 971.35 Kb)
Registration Variation Form (pdf, 1.82 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Product details and Schedule of Benefits (pdf, 806.39 Kb)
Application form (pdf, 2.19 MB)
Conversion Form (pdf, 1.08 MB)
Registration Variation Form (pdf, 1.08 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim form (pdf, 1.24 MB)
Product details and Schedule of Benefits (pdf, 1.18 MB)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Registration Variation Form (pdf, 1 MB)
Reinstatement Application Form (pdf, 650.24 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Brochure (including Summary of Benefits and Premium Table) (pdf, 2.3 MB)
Policy and Benefit Information of the Certified Plan (pdf, 1.85 MB)
Brochure (including Summary of Benefits and Premium Table) (pdf, 2.3 MB)
Policy and Benefit Information of the Certified Plan (pdf, 1.85 MB)
Policy and Benefit Information of the Certified Plan (pdf, 2.36 MB)
Supplement (Definition of Hospital) (pdf, 101.11 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Change of Payment Method and Account Number Form (pdf, 1005.23 Kb)
Registration Variation Form (pdf, 1.82 MB)
Hospital Claim form (pdf, 1.24 MB)
Clinical Claim Form (pdf, 1.11 MB)
Pre-authorisation Form (pdf, 322.61 Kb)
Bupa Civil Servants membership transfer arrangement (pdf, 163.1 Kb)
Transfer to Bupa CarePro (pdf, 1.64 MB)
Transfer to Bupa Care Kid (pdf, 439.2 Kb)
Transfer to Bupa MyBasic VHIS Plan (pdf, 442.06 Kb)
Transfer to Bupa MyFlexi VHIS Plan (pdf, 1.96 MB)
Brochure (including Schedule of Benefits and Table of Subscriptions) (pdf, 2.31 MB)
Declaration of Membership Card Loss Form (pdf, 646.57 Kb)
Change of Payment Method and Account Number Form (pdf, 1016.4 Kb)
Reinstatement Form (pdf, 606.01 Kb)
Bupa Health Insurance Scheme Credit Card Authorisation Form (pdf, 502.75 Kb)
Bupa Health Insurance Scheme Direct Debit Authorisation Form (pdf, 457.58 Kb)
Hospital Claim Form (pdf, 1.65 MB)
Critical Illness Claim Form (pdf, 476.68 Kb)
Clinical Claim Form (pdf, 1.11 MB)
Registration Variation Form (pdf, 1.87 MB)

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Group schemes

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