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.

FastBack form

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

Download FastBack form

PDF file size: 114kb

Provider registration application

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

Download provider registration form

PDF file size: 74kb

Transfer Certificate request

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

Download transfer certificate form

PDF file size: 118kb

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

PDF file size: 107kb

Third party access

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

Download third party access form

PDF file size: 110kb

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

PDF file size: 75kb

Direct debit request

Use this form to pay your contributions via direct debit.

Download Direct debit form

PDF file size: 66kb

Register a student

Download register a student form

PDF file size: 112kb

Complaints form

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

Download complaints factsheet

PDF file size: 590kb