The claim forms downloaded from this page should only be used for policies renewing before 01 December 2011.
   
Please click on the images below for the ALC Health claim form that you require
 
(All these documents are in .pdf format and will require the latest version of Adobe Acrobat to download correctly)


            

           Guide to Making               Scanning a                        Policy
                  a Claim                      Claim Form                       Wording
 
               

            Medical Claim                 Continuation             Treatment Request 
                                                  of Treatment               (Hospitalisation)
 
               
 
         Dental Treatment              Optical Care                  Routine Health 
                                                                                         Management


German Language Claim Forms


 
               
 
        Treatment Request            Medical Claim              Dental Treatment


              

           Routine Health                 Optical Care
            Management

For further assistance

If you have any questions about the range of options available to you or would like to speak with one of our knowledgeable and experienced advisors, contact your nearest ALC Health regional office:

(+ 44) 1903 817970   (UK)
(+ 34) 952 931609     (Spain)
(+ 356) 999 91038     (Malta)


or e-mail us at sales@alchealth.com