Please use this form to tell us about your medical history, and the medical history for anyone else you want to add to your cover (a dependant). We need this information to confirm your cover, process your claims and pay for any treatment you need that’s covered by your policy.
Please use this form to tell us about your medical history, and the medical history for anyone else you want to add to your cover (a dependant). We need this information to confirm your cover, process your claims and pay for any treatment you need that’s covered by your policy.
Bupa Dental Care
Search over 360 private and NHS dentists and book an appointment that suits you. Online booking now available. Alternatively, browse by region to discover available dental practices within a specific area. If you or a family member are worried about the …
Please check that the health information on this form is still correct. Please note any changes to your smoking, alcohol or medicine intake and list them in the notes field provided.
When was your last dental appointment? How long has it been since you had dental x rays? By submitting your details you are consenting to receiving marketing emails from us.
FAQ - Frequently Asked Questions - Bupa Dental
When you arrive, we’ll ask you to fill out a short medical history form. This ensures we have the necessary information to give you treatment that’s most suitable for you and your health needs. Our friendly staff will be nearby to answer any questions that you might have.
Send us your completed form using one of the methods below. For inpatient hospital admissions or hospital attendances: Email: [email protected] For out of hospital GP and specialist consultations and diagnostic tests: – Message us on WhatsApp: bupa.com.au/contact-us – Login to myBupa and contact live support: myBupa.com.au
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Dental claim form
When you have completed the form please send it to: Bupa Dental, Anchorage Quay, Salford Quays, M50 3XL. If you need to speak to someone regarding your claim, please call the Bupa Dental helpline.
In order to process your claim, we may need to apply for a medical report from any doctor who has attended you. To apply, we need you to give your consent by signing the declaration below.
Useful documents | Intermediaries - Bupa UK
Aug 1, 2024 · Bupa Health underwritten application form to alter and/or add a dependent – intermediary complete (PDF, 0.5MB)
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