Forms

Forms you may need to manage your membership are located on this page. We’re here to help, so if you're unable to find the form you're looking for, please contact us.

Downloads are in Adobe Reader format. Install it here.

Download a claim form

Claim online using Flex-eClaim or use this form to make a claim.

Download claim form

FastBack form

Use this form to nominate an account into which your claim benefits will be paid.

Download Fastback form

Provider registration application

Apply to become a registered provider with
GU Health or register details for additional practice/s.

Download provider registration form

Transfer Certificate request

Complete this form if you’re switching health insurers and to make sure you have continuous cover.

Download transfer certificate form

Health management authorisation

Claim towards a program to address/improve a specific health or medical condition – to be completed by GP or healthcare provider.

Download health management authorisation form

Third party access

This form lets you nominate someone to speak to us about your membership.

Download third party access form

Australian Government Rebate on private health insurance

Apply for the Australian Government Rebate on private health insurance as a reduced membership contribution.

Download Australian Government Rebate form

Direct debit request

Use this form to pay your contributions via direct debit.

Download Direct debit form

Register a student

Register a student dependant so they stay covered on your family membership.

Download register a student form

Complaints fact sheet

Your feedback helps us improve. Tell us if you're unhappy with any aspect of our service or products.

Download complaints factsheet

Grand United Corporate Health Limited (GU Health) ABN 99 002 985 033 is a registered health insurer. A subsidiary of nib holdings limited ABN 51 125 633 856. © Grand United Corporate Health Limited 2018.