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Download a Claim Form


Download a Claim Form

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The following Claim Forms are provided for your use:

Benefit Claim Form

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When you click on the file below, a new window should open on your PC containing the form.

Online Benefit Receipt Claim Form

Online Hospital Receipt Claim Form

Please note that the Online Benefit Claim Form can be used to save your details for the next time you wish to make a claim. (These details will only be stored on your own PC). Please complete, print, sign and send the claim form to Health Shield, with accompanying receipts where required.


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