Application forms

All forms can be found further down this page.

Main application form (editable)

KidSmart application form (editable)

Health Plans

Personal Health Insurance 

SmartCare+ Health Plan

SmartCare Health Plan

SmartStay Health Plan

KidSmart Health Plan

Day to Day Health Plan

Business Health Insurance

StaffCare+ Health Plan

StaffCare Health Plan

StaffStay Health Plan

Legacy Products

Below are the most up to date Health Plan documents for all Accuro legacy products. These products are no longer available to purchase.

Legacy Product Health Plans

Forms

Main application form (editable)

Main Application - Supplementary pages (editable)

KidSmart application (children under 6 months old)

KidSmart application form

KidSmart application form (editable)

KidSmart application (under 6 months old) editable

Main application form (print)

Day to day application (existing members)

Making changes form (personal)

Day to day application (new members)

Making changes form (workplace insurance)

Making changes form (workplace insurance) Editable

Payment method form

Payment Method Form (editable)

Claims and Medical

Pre-approval form (print)

Pre-approval form (editable)

Claim form

Medical report form

Declaration of health

Prophylactic surgery eligibility criteria

Spinal surgery benefit critera

John Miller Authority Form