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Wellness Services

Download Forms

Claim forms, membership change forms and other frequently-used forms are available for download here. Don't forget that you can also submit your hospital and clinical claims on myBupa. It's more efficient and eco-friendly!
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View and manage your Bupa schemes conveniently on myBupa

Select Category and Download Forms

Frequently-used Forms
For Employers
For Members
For Medical service providers
For HealthPro Concierge Service
Opens in new window Application for e-Service Form
PDF, 125.57 Kb
document
Opens in new window Corporate HealthNet Plus application form
PDF, 4.89 MB
document
Opens in new window Bupa Empower SME application form
PDF, 2.54 MB
document
Opens in new window Enterprise HealthNet application form
PDF, 4.89 MB
document
Opens in new window Declaration of loss card form
PDF, 1.25 MB
document
Opens in new window Hospital & Day Surgery Claim Form (For Bupa Empower only)
PDF, 2.76 MB
document
Opens in new window Pre-authorisation form (For members)
PDF, 1.52 MB
document
Opens in new window Pre-authorisation form
PDF, 1.36 MB
document
Opens in new window Change of Personal Information and Payment Method Form
PDF, 1.43 MB
document
Frequently-used Forms
Opens in new window Clinical Claim Form
PDF, 2.01 MB
document
Opens in new window Hospital Claim form
PDF, 2.55 MB
document
Opens in new window Hospital & Day Surgery Claim Form (For Bupa Empower only)
PDF, 2.76 MB
document
Opens in new window Declaration of Membership Card Loss Form
PDF, 1.25 MB
document
For Employers
Opens in new window Application for e-Service Form
PDF, 125.57 Kb
document
Opens in new window Corporate HealthNet Plus application form
PDF, 4.89 MB
document
Opens in new window Bupa Empower SME application form
PDF, 2.54 MB
document
Opens in new window Enterprise HealthNet application form
PDF, 4.89 MB
document
For Members
Opens in new window Declaration of loss card form
PDF, 1.25 MB
document
Opens in new window Hospital & Day Surgery Claim Form (For Bupa Empower only)
PDF, 2.76 MB
document
Opens in new window Pre-authorisation form (For members)
PDF, 1.52 MB
document
For Medical service providers
Opens in new window Pre-authorisation form
PDF, 1.36 MB
document
For HealthPro Concierge Service
Opens in new window Change of Personal Information and Payment Method Form
PDF, 1.43 MB
document

More Enquiries?

Individual
Schemes
user-edit
2517 5333
Group
Members
our-leaders
2517 5388
Bupa Gold
Schemes
brave-1
2517 5383
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Enrolment Hotline
2517 5338
Monday to Friday 9am – 6pm
(Except public holiday)
Group Member Enquiries
2517 5388
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