Order Forms & Brochures

Order Forms & Brochures


If you'd like us to send you some forms or brochures, just fill in your details and the amount of each form or brochure you'd like.

Your Details:

* Title:
* First Name:
* Surname:
Membership Number:
* Address:
* Verification:
Please enter the code above.

Brochure Selection:

Brochure Name
Peoplecare Brochure:
Pre-Existing Ailment Information Booklet:
Annual Report:
Rates & Benefits – Basic, Mid, High, Premium:
Rates & Benefits – Bronze, Silver, Gold:
Health Programs Info:
Hospital Info Pack:

Form Selection:

Form Name
Application Form:
Claim Form:
Medicare Claim Form:
Medicare Two Way Claim Form:
Person Registration/De-registration Form:
Student Dependent Registration Form:
Private Health Insurance Rebate Application Form:
Direct Debit Request / Change Form:
Family Plus Cover Request Form:
Rebate Tier Nomination Form:
Declaration of Condition Form:
Membership Suspension/Cancellation Form:
* indicates required fields