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Title
Category
Modified Date
Size
Description
Your Choice of Prosthesis
Brochures
11/5/2008
151.65 KB
Download
Surgery, your choice of prosthesis flyer(one page brochure)
Cancellation of Direct Credit or Debit Form
Forms
1/28/2010
58.65 KB
Download
Health Partners cancellation of direct credit or debit form.
Delegation of Authority
Forms
1/27/2010
51.26 KB
Download
Health Partners delegation of authority form.
Direct Credit Request
Forms
3/6/2012
100.01 KB
Download
Health Partners Direct Credit Request Form
Direct Debit Request Form including Service Agreement
Forms
1/27/2010
89.58 KB
Download
Health Partners direct debit request form. Please ensure you read and understand the service agreement.
Member Claim Form
Forms
8/23/2011
110.85 KB
Download
Health Partners member claim form.
Membership Application Form
Forms
1/27/2010
96.16 KB
Download
Health Partners membership application form. This form can also be used to change your cover, add or delete dependants, and update your personal or residential details.
Newborn Support Application Form
Forms
3/6/2012
745.65 KB
Download
Health Partners application form for the Newborn Support Program.
Overseas Travel - Application to Suspend Membership
Forms
1/27/2010
75.04 KB
Download
Health Partners suspension of cover form for overseas travellers.
Pharmacy Connect
Forms
3/15/2012
64.25 KB
Download
Pharmacy Connect order form exclusively for National Extras members living in country South Australia and interstate.
Student Dependant
Forms
3/15/2012
54.43 KB
Download
Health Partners Student Dependant Form.
Update of Personal Member Details
Forms
1/27/2010
55.00 KB
Download
Health Partners update of personal member details form.
Privacy Policy Statement
Statements
1/30/2012
67.84 KB
Download
Health Partners privacy policy statement.