This form can be used to change your existing level of cover. If you prefer you can download and print a Health Partners membership application form (139 Kb PDF). Just fill it out and fax to (08) 8227 2055 or send it to Health Partners Reply Paid 1493, Adelaide, SA 5001.
If you have any questions please phone us on 1300 113 113, or send us an email: ask@healthpartners.com.au.
Fields marked with an * required and must be filled in to proceed.
Please complete the section below to confirm your membership.
If you wish to change your address details please download an ‘Update of personal member details’ form and send the signed form to Health Partners Reply Paid 1493, Adelaide SA 5001, or fax to (08) 8223 1108.
To add a newborn or other dependant (including a spouse/partner) please download and print a Health Partners membership application form (139 Kb PDF), as this cannot be done online.