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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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Frequently-used forms

Clinical Claim Form (pdf, 2.01 MB)
For greater convenience, submit your clinical claim online!
Hospital Claim form (pdf, 2.55 MB)
For greater convenience, submit your hospital claim online! (Please be reminded to ask your attending doctor to fill in Part II of the hospital claim form before discharge)
Hospital & Day Surgery Claim Form (For Bupa Empower only) (pdf, 2.76 MB)
For greater convenience, submit your hospital claim online! (Please be reminded to ask your attending doctor to fill in Part II of the hospital claim form before discharge)
Declaration of Membership Card Loss Form (pdf, 1.25 MB)

Select category and download forms

If you need any help in filling out the form(s), please do not hesitate to call us.

  • For Employers
  • For Members
  • For Medical service providers
  • For HealthPro Concierge Service
Declaration of loss card form (pdf, 1.25 MB)
Hospital & Day Surgery Claim Form (For Bupa Empower only) (pdf, 2.76 MB)
Pre-authorisation form (For members) (pdf, 1.4 MB)
Pre-authorisation form (pdf, 1.4 MB)
Change of Personal Information and Payment Method Form (pdf, 1.43 MB)

For Enquiries

Our customer service officers are pleased to help you 24 hours every day.

Individual schemes

2517 5333

Bupa Gold schemes

2517 5383

Group schemes

2517 5388

or

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