Forms

The following forms and documents are available for your convenience.

Application Forms

• Membership Application
• Transfer from another Fund
• 30% Rebate Application
• Direct Debit Request
• Payroll Deduction Authority
• Student Declaration

Claim Form

• Claim Form

Reference Documents

• List of hospitals with “Top Hospital” agreement with Phoenix Health Fund
• Access Gap Cover brochure
• Annual Report 2009
• Annual Report 2008
• Annual Report 2007
• Complaints Policy