We're delighted that you'd like to join rt health!  Use this form to take out health cover with us. Please print, complete, sign and then send it to us by email, fax or snail mail.

Use this form to make all Hospital and Extras claims (where HICAPS is unavailable). Please print, complete, sign and then send it to us by email, fax or snail mail.

Use this form to change your level of cover or to make a change to the people covered by your membership. Please print, complete, sign and then send it to us by email, fax or snail mail.

Use this form to nominate someone else to make changes, ask about claims and generally manage your membership in case you're away or unable to do it yourself.

As the main member of a couple/family membership, use this form to give your nominated partner full authority (this excludes the ability to cancel or suspend your membership).

Use this form to set up an automatic direct debit from your bank account or credit card. Please print, complete, sign and then send it to us by email, fax or snail mail.

Would you like to pay for your health cover directly out of your salary? If your employer has a salary deduction plan, use this form to set this up. If they don't, ask payroll to give us a call.

Your kids are covered by your family membership until they turn 21. After that, they can stay on your cover at no extra cost up until the age of 25 if they qualify as a 'student dependent'.

Travelling overseas? You can't take your health cover with you, but you may be able to suspend it while you're away. See all of the terms and conditions on page 2 of this form.

If you're not currently receiving the government rebate as a reduction in your contributions, or need to change your rebate level, you can change your rebate option here.