This form is in PDF format, once opened (in for example Acrobat Reader) you can fill it in directly on your computer screen. Or you can print it out and do it by hand.
Application for Outbound Medical Travel Insurance.
Note: This is our "standard" recommended insurance policy. However, if you wish to purchase another policy from one of our other insurance partners, you may obtain the relevant form in our office or by contacting us.
Don't have Acrobat Reader? Get it free from Adobe
Tip
By downloading and filling in the form in advance you will save time when coming to our office since we can speed up the process of acquiring your policy.